Individual
ARDITH A RYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 HARMONY ST, SUITE 408, COUNCIL BLUFFS, IA 51503-3106
(712) 256-6160
(402) 895-5060
Mailing address
1112 S 113TH CT, OMAHA, NE 68144-1857
(402) 334-9171
(402) 895-5060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19489
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025492800
—
NE
05
—
209767946
—
MO
01
—
32328
BLUE CROSS BLUE SHIELD
NE
05
—
3507293
—
IA
Enumeration date
08/28/2006
Last updated
08/09/2013
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