Individual
DR. JONATHAN RYAN ISGRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
777 TANGLEFOOT LN, BETTENDORF, IA 52722-1650
(563) 459-6676
(563) 459-6615
Mailing address
2001 5TH ST, SUITE 49, SILVIS, IL 61282-2903
(563) 459-6676
(563) 459-6615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010894
IL
Other
Enumeration date
05/05/2014
Last updated
12/22/2015
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