Search › Idaho › 171100000X
Ryan Pedersen, L.AC., D.O.M
NPI 1437354453 · on the registry since 2007
Practice
- Address
- 8783 West Hackamore Drive
Suite #8
Boise, ID 83709 - Phone
- (208) 376-7172
- Fax
- (208) 376-4778
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho