Individual
RYAN MATHEW WATERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 N DODGE ST, IOWA CITY, IA 52245-6105
(319) 337-6323
(319) 337-2037
Mailing address
1201 N DODGE ST, IOWA CITY, IA 52245-6105
(319) 337-6323
(319) 337-2037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19532
IA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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