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1174072243
M. RYAN PARTIN
MERIDIAN, ID
NPI
1174072243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1402)
Enumeration Date
2016-09-29
Last Update Date
2022-03-14
Business Address
M. RYAN PARTIN PA
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5651
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Mailing Address
M. RYAN PARTIN PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8748
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