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Contact Information

RYAN F HOLBROOK, MD
601 S SHERMAN ST
SPOKANE, WA99202-1311
 Phone: 509-228-1000
 Fax: 509-252-9300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RYAN F HOLBROOK · (Male)

NPI Number 1801885520
Status Active
Credentials MD
Entity Individual
Enumeration date 10/14/2005
Last updated 03/27/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00032407
  • ID Medicaid 000570500
  • WA Medicaid 1093673
  • Other 4581883 AETNA
  • Other HO2112 ASURIS NORTHWEST HEALTH
  • Other KR827 BLUE CROSS OF IDAHO
  • Other 000010138943 BLUE SHIELD OF IDAHO
  • Other 0161842 DEPT OF LABOR & INDUSTRIE
  • Other 910000377 RAILROAD MEDICARE
Hospital affiliation(s)
  • BONNER GENERAL HOSPITAL - (Critical Access)
    520 NORTH THIRD AVENUE
    SANDPOINT, ID 83864
  • DEACONESS HOSPITAL - (Acute Care)
    W 800 FIFTH AVENUE
    SPOKANE, WA 99210
  • KADLEC REGIONAL MEDICAL CENTER - (Acute Care)
    888 SWIFT BLVD
    RICHLAND, WA 99352
  • ST JOSEPH REGIONAL MEDICAL CENTER - (Acute Care)
    415 SIXTH STREET
    LEWISTON, ID 83501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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