Jason Ritter

NPI 1588071633 · on the registry since 2014 · sole proprietor

Practice

Address: 939 Bryden Ave
Lewiston, ID 83501
Phone: (208) 743-1761
Organisation at this address: Carmine Petracca
Bryden Family Vision
Randy L. Sorensen Dmd Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-07-11

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