Individual
RYAN SCOTT OWSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16111 N BRINSON ST STE 100, NAMPA, ID 83687-5509
(208) 467-7546
(208) 467-7500
Mailing address
16111 N BRINSON ST STE 100, NAMPA, ID 83687-5509
(208) 467-7546
(208) 467-7500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M8483
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138580
BLUE SHIELD
ID
01
—
000010144611
BLUE SHIELD
ID
01
—
000010147426
BLUE SHIELD
ID
01
—
070017125
RAILROAD MEDICARE
ID
01
—
48553
BLUE CROSS
ID
01
—
48561
BLUE CROSS
ID
05
—
806364100
—
ID
01
—
B0909
BLUE CROSS
ID
01
—
B0925
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
03/17/2021
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