Individual
RYAN J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3250 N LESLIE WAY STE 110, MERIDIAN, ID 83646-5362
(208) 609-9500
(208) 264-2350
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M12883
ID
Other
Enumeration date
05/03/2010
Last updated
02/22/2023
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