Individual
RYAN ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
411 LAUREL ST, SUITE 2100, DES MOINES, IA 50314-3017
(515) 247-3266
(515) 643-8688
Mailing address
PO BOX 1475, DES MOINES, IA 50306-1475
(515) 247-3266
(515) 643-8688
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3522
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253422
MIDLANDS CHOICE
IA
01
—
53273
WELLMARK BLUE SHIELD
IA
Enumeration date
05/08/2007
Last updated
04/15/2009
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