Individual
RYAN BRUCE THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 884-0858
Mailing address
1618 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 884-0858
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
M14659
ID
Other
Enumeration date
04/02/2014
Last updated
06/04/2025
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