Individual
RAMON ADDISON RELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3224 N MAPLE GROVE RD, BOISE, ID 83704-4214
(208) 888-3358
Mailing address
2301 E SADIE DR, EAGLE, ID 83616-5409
(530) 520-7796
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
10927277-1206
UT
363AM0700X
Medical Physician Assistant
Primary
PA-1084
ID
363AM0700X
Medical Physician Assistant
PA60193367
WA
Other
Enumeration date
11/24/2010
Last updated
06/23/2023
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