Individual
RYAN THOMAS BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 E MALLARD DR, STE 110, BOISE, ID 83706-3945
(208) 336-8700
(208) 426-0902
Mailing address
360 E MALLARD DR, STE 110, BOISE, ID 83706-3945
(208) 336-8700
(208) 426-0902
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M-13360
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805858400
—
ID
Enumeration date
04/12/2011
Last updated
10/14/2016
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