CARL RYAN ANDRUS

BOISE, ID
NPI1215949532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-508)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
CARL RYAN ANDRUS P.A.
4902 W STATE ST
BOISE, ID 83703-3326
Phone number: 208-853-3100
Mailing Address
CARL RYAN ANDRUS P.A.
4902 W STATE ST
BOISE, ID 83703-3326
Phone number: 208-853-3100
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