Individual
RYAN DEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1223 S GEAR AVE STE 202, WEST BURLINGTON, IA 52655
(319) 768-4350
Mailing address
1221 S GEAR AVE STE 202, WEST BURLINGTON, IA 52655-1679
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD-45213
IA
2086S0129X
Vascular Surgery Physician
R-9657
IA
Other
Enumeration date
04/20/2012
Last updated
08/22/2018
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