Individual
RYAN ALAN MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5015
(208) 381-1873
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10108623-1205
UT
207R00000X
Internal Medicine Physician
Primary
M-15668
ID
Other
Enumeration date
03/28/2015
Last updated
02/12/2025
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