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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN BLACK, PA-C

Active

RYAN BLACK, PA-C is a Physician Assistant healthcare provider located in RIGBY, Idaho. NPI 1932452091 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RIGBY, ID

Registration Details

NPI Number
1932452091
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2012 (13.786498455017 yrs)
Last Updated
Oct 24, 2023

Practice Information

Address
703 RIGBY LAKE DR
RIGBY, ID, 834425192
Browse ID providers · Browse ZIP 83442
Phone
2087450200
Fax
2087450212
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in RIGBY, ID

Name Credential NPI
MR. QUINN DONALD RANSON PA-C 1508296476
KAREN DEL ROSARIO SILVA HARDIN 1730816737
DEVRI BURNELL 1700512795
PAIGE SHALAE WARNER PA-C 1659136257
TINA MARIE MURDOCK PA-C 1063205417
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.