Individual
CATHERINE WINFREE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W. FORT ST., # 111, BOISE, ID 83702
(208) 422-1326
(208) 422-1319
Mailing address
500 W. FORT ST., # 111, BOISE, ID 83702
(208) 422-1326
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7294
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003895900
—
ID
Enumeration date
04/28/2006
Last updated
03/07/2023
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