Individual
DR. RYAN N COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7988 W. MARIGOLD ST., STE. 150, BOISE, ID 83714
(208) 472-1072
(208) 472-1078
Mailing address
7988 W. MARIGOLD ST., STE. 150, BOISE, ID 83714
(208) 472-1082
(208) 472-1078
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
M-8883
ID
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
M8883
ID
246Q00000X
Pathology Specialist/Technologist
M8883
ID
Other
Enumeration date
06/14/2006
Last updated
11/12/2020
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