Individual
RYAN DORNBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12129 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8287
(515) 400-3550
(515) 400-3551
Mailing address
12129 UNIVERSITY AVE STE 200, CLIVE, IA 50325-8287
(515) 400-3550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.065964
IL
208800000X
Urology Physician
Primary
036147483
IL
208800000X
Urology Physician
125.065964
IL
Other
Enumeration date
04/01/2014
Last updated
07/30/2021
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