| Doctor Name: | DR. RYAN FLUG |
| NPI Number: | 1003299702 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP |
| License Number: | A126297 |
| Business Practice Address: | 2353 Se 14th St Des Moines, IA - 503201109 |
| Business Phone Number: | 5152481400 |
| Business Fax Number: | 5152481414 |
| Mailing Address: | 9943 Hickman Rd, #105 DES MOINES |
| State: | IA |
| Postal Code: | 503225304 |
| Phone Number: | 5152481447 |
| Fax Number: | 5152481440 |
| NPI Enumeration Date: | 06/30/2015 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A126297 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |