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Individual
RYAN ANDREW SMITH
Active
Individual
RYAN ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NULL
208D00000X
General Practice Physician
Primary
0102208630
VA
Other
Enumeration date
02/22/2022
Last updated
03/05/2025
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