Individual provider · Type 1 NPI

Ryan Lewis Van de Graaff, MD

Otolaryngology Physician · Boise, ID

NPI number 1619067436 Active

Practice location

900 N Liberty St., Ste 400
Boise, ID 83704

Call (208) 367-3320 Map

Fax (208) 367-7474

Mailing address

900 N. Liberty St., Ste 400
Boise, ID 83704

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X22476 (NE)
Otolaryngology Physician Primary 207Y00000XM-10288 (ID)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1619067436

Ryan Lewis Van de Graaff, MD's National Provider Identifier is 1619067436, issued on Oct 13, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Boise, ID. The record was last updated on Jun 1, 2010.