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Individual

DR. RYAN BRADLEY SMITH

Active
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Individual

DR. RYAN BRADLEY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R-10907
IA
207YP0228X
Pediatric Otolaryngology Physician
R-10907
IA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
R-10907
IA
207YS0123X
Facial Plastic Surgery Physician
R-10907
IA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
R-10907
IA
207YX0602X
Otolaryngic Allergy Physician
R-10907
IA
207YX0901X
Otology & Neurotology Physician
R-10907
IA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
R-10907
IA

Other

Enumeration date
05/24/2017
Last updated
05/24/2017
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