Individual
MR. RYAN KEITH ANKARBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 E 7TH ST, WEISER, ID 83672-2474
(208) 414-8440
(208) 414-8442
Mailing address
400 E 7TH ST, WEISER, ID 83672-2474
(208) 414-8440
(208) 414-8442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-989
ID
363A00000X
Physician Assistant
Primary
PA01317
OR
Other
Enumeration date
10/01/2007
Last updated
11/22/2012
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