RYAN MCBRIDE

SHELLEY, ID
NPI1083297220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  F05210086)
Enumeration Date2021-05-05
Last Update Date2021-05-05
Business Address
RYAN MCBRIDE
210 S EMERSON AVE
SHELLEY, ID 83274-1229
Phone number: 208-375-7404
Mailing Address
RYAN MCBRIDE
123 S 19TH AVE
POCATELLO, ID 83201-3339
Phone number: 208-339-1579