MS. Victoria Eleanor Ryan, PA-C

NPI #1003980210 in Pocatello, Idaho

Provider Information

NPI Number: 1003980210
Entity Type: Individual
Name: MS. Victoria Eleanor Ryan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PA-C
Enumeration Date: Nov 20, 2006
Last Updated: Sep 10, 2015

Practice Location

Address: 990 CESAR CHAVEZ AVE
City: Pocatello
State: Idaho
ZIP Code: 83209-0001
Phone: (208) 282-2330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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