Individual
LUKE WILLIAM RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5615 NW 86TH ST, JOHNSTON, IA 50131-1738
(515) 643-6000
(515) 643-6001
Mailing address
PO BOX 674721, DALLAS, TX 75267-4721
(515) 643-2519
(515) 643-6001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
127972
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
12/22/2025
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