Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN LEWIS VAN DE GRAAFF, MD
ActiveOtolaryngology · BOISE, ID
Registration Details
- NPI Number
- 1619067436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.530495879874 yrs)
- Last Updated
- Jun 1, 2010
- Licenses
-
22476 (NE)M-10288 (ID)
Practice Information
- Address
-
900 N LIBERTY ST.STE 400BOISE, ID, 83704Browse ID providers · Browse ZIP 83704
- Phone
- 2083673320
- Fax
- 2083677474
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Other Otolaryngology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD J BEASLEY | MD | 1770573750 |
| DR. ARTHUR JONES III | M.D. | 1659354223 |
| DR. TODD RUSTAD | M.D. | 1306829973 |
| DR. DELRAY MAUGHAN | M.D. | 1649253188 |
| DR. MATTHEW B SCHWARZ | M.D. | 1992788434 |
| MARTIN R TUBACH | MD | 1982656591 |
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.