Individual
RYAN FREDERICK HOLBROOK
Active
Individual
RYAN FREDERICK HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MD00032407
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138943
BLUE SHIELD OF IDAHO
—
05
—
000570500
—
ID
01
—
0161842
DEPT OF LABOR & INDUSTRIE
—
05
—
1093673
—
WA
01
—
4581883
AETNA
—
01
—
910000377
RAILROAD MEDICARE
—
01
—
HO2112
ASURIS NORTHWEST HEALTH
—
01
—
KR827
BLUE CROSS OF IDAHO
—
Enumeration date
10/14/2005
Last updated
03/27/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up