# BRYAN MATTHEW SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578592895
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 125.062786 | IL | — |
| 207X00000X | Orthopaedic Surgery Physician | A156007 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | E-12426 | AR | Yes |
| 225100000X | Physical Therapist | 3952 | OK | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 06/10/2024
