Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036.131864 | IL |
N | 207X00000X | Orthopaedic Surgeon | 40609 | IA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 40609 | IA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 54913 | MN |
NPI | 1235329434 |
---|---|
Provider Name | Dr. Ryan Patrick Dunlay |
First Address | Bettendorf, IA 52722-7564 |
Second Address | Bettendorf, IA 52722-7564 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 01/02/2017 |