Ryan Lewis Van De Graaff in Boise - Otolaryngology
Ryan Lewis Van De Graaff - NPI 1619067436
Ryan Lewis Van De Graaff is a Otolaryngology in Boise, Idaho. Ryan Lewis Van De Graaff practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Ryan Lewis Van De Graaff is 1619067436. The last update date is 2010-06-01.
Ryan Lewis Van De Graaff's current location address is 900 N. Liberty St., Boise, Idaho. You can contact this provider via phone number 2083673320 and fax number 2083677474. The mailing address for Ryan Lewis Van De Graaff is 900 N. Liberty St., Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Lewis Van De Graaff |
|---|---|
| Address | 900 N. Liberty St., Boise, Idaho |
| Phone Number | 2083673320 |
| Fax Number | 2083677474 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619067436 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2010-06-01 |
Provider Mailing Address Detail
| Address | 900 N. Liberty St. |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 83704 |
| Phone Number | 2083673320 |
| Fax Number | 2083677474 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 22476 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 808096700 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ryan Lewis Van De Graaff?
The Ryan Lewis Van De Graaff has been issued the NPI (National Provider Identifier) 1619067436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ryan Lewis Van De Graaff's facilities are situated?
The facilities of Ryan Lewis Van De Graaff are physically located at the following address: 900 N. Liberty St., Boise, ID, 83704.
What is the Ryan Lewis Van De Graaff's area of specialization and corresponding taxonomy classification?
The Ryan Lewis Van De Graaff's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When was the Ryan Lewis Van De Graaff's 1619067436 issued?
The Ryan Lewis Van De Graaff's 1619067436 was issued on 2006-10-13.
As of what date was the information regarding Ryan Lewis Van De Graaff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ryan Lewis Van De Graaff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-01.
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