Individual
RYAN JAMES BLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
912 W HAYS ST APT 4, BOISE, ID 83702-5461
(208) 949-0372
Mailing address
912 W HAYS ST APT 4, BOISE, ID 83702-5461
(208) 949-0372
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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