Individual
RYAN DANIEL WOLFLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1950 E CLARK ST STE 100, POCATELLO, ID 83201-3315
(208) 806-4581
(208) 837-3010
Mailing address
1950 E CLARK ST STE 100, POCATELLO, ID 83201-3315
(208) 806-4581
(208) 837-3010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2153
ID
Other
Enumeration date
10/28/2021
Last updated
06/25/2025
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