Individual
RICK A YAVRUIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
131 N ALUMBAUGH ST, BOISE, ID 83704-9204
(208) 367-2175
(208) 376-0285
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-2175
(208) 376-0285
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
O-243
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831131085
—
ID
Enumeration date
06/12/2006
Last updated
07/30/2024
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