Individual
RYLEY MCPETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4424 E FLAMINGO AVE STE 300, NAMPA, ID 83687-9306
(208) 302-0200
(208) 302-0255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
M-17862
ID
207RI0011X
Interventional Cardiology Physician
MD221543
OR
Other
Enumeration date
04/06/2016
Last updated
11/07/2024
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