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Search › Idaho › 103G00000X

Ryan Mangum, PHD

NPI 1790311157 · on the registry since 2020

Practice

Address
600 N Robbins Rd
Boise, ID 83702
Phone
(208) 381-9037
Organisation at this address
Intermountain Surgery Center
Intermountain Orthopaedic Pllc
St Lukes Regional Medical Center
St Lukes Regional Medical Center
Intermountain Orthopaedics Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
141

Additional practice sites

  • 2009 F St, Vancouver, WA

Registry record

Primary taxonomy
103G00000X
103G00000X
Also registered as
103G00000X
103TC0700X
103TC0700X
Licence states on file
WA, MI, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-29

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