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Individual

RYAN LANCE DENSMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009
(319) 356-2210
Mailing address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R-11305
IA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
R-11305
IA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
R-11305
IA
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
R-11305
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
R-11305
IA
207LP3000X
Pediatric Anesthesiology Physician
R-11305
IA

Other

Enumeration date
06/07/2018
Last updated
06/07/2018
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