Provider Demographics
NPI:1285858084
Name:COOK, RYAN DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:DOUGLAS
Last Name:COOK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1111 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2613
Mailing Address - Country:US
Mailing Address - Phone:515-643-2667
Mailing Address - Fax:515-643-2978
Practice Address - Street 1:1111 6TH AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2613
Practice Address - Country:US
Practice Address - Phone:515-643-2667
Practice Address - Fax:515-643-2978
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA370762085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology