# RYAN SURMAITIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629338132
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | OS017664 | PA | — |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician | OS017664 | PA | Yes |

## Other

- **Enumeration date:** 05/18/2012
- **Last updated:** 04/14/2020