RYAN BLACK

RIGBY, ID
NPI1932452091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2012-10-25
Last Update Date2023-10-24
Business Address
RYAN BLACK PA-C
703 RIGBY LAKE DR
RIGBY, ID 83442-5192
Phone number: 208-745-0200
Mailing Address
RYAN BLACK PA-C
703 RIGBY LAKE DR
RIGBY, ID 83442-5192
Phone number: 208-745-0200
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