Individual
RYAN JOSEPH GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2421
(319) 356-3949
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2421
(319) 356-3949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
127672
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2023
Last updated
09/09/2024
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