Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARL RYAN ANDRUS, P.A.
ActivePhysician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1215949532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (19.688289419422 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA-508 (ID)
Practice Information
- Address
-
4902 W STATE STBOISE, ID, 837033326Browse ID providers · Browse ZIP 83703
- Phone
- 2088533100
- Fax
- 2088533120
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. YELENA SHUEY | PA-C | 1124029939 |
| JEFFREY D SMITH | PA C | 1013905793 |
| CHADWICK ALDEN FISHER | PA | 1497744338 |
| RACHEL KING | PA | 1205826245 |
| DARRELL L KING | PA | 1770573644 |
| THOMAS F DOUTHIT | PA-C | 1023008414 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.