RYAN WILSON

MERIDIAN, ID
NPI1174980346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1341)
Enumeration Date2016-01-19
Last Update Date2022-06-16
Business Address
RYAN WILSON PA
1623 S WELLS AVE
MERIDIAN, ID 83642-5040
Phone number: 208-489-1450
Mailing Address
RYAN WILSON PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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