RYAN BURKE

BOISE, ID
NPI1194132860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1179)
Enumeration Date2014-07-15
Last Update Date2017-02-17
Business Address
-- RYAN BURKE PA
8971 W OVERLAND RD
BOISE, ID 83709-1651
Phone number: 208-378-4288
Mailing Address
-- RYAN BURKE PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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