Individual
DR. RYAN THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
57009416
OH
207W00000X
Ophthalmology Physician
Primary
66645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I183712
PTAN
GA
05
—
2965260
—
OH
01
—
P00725745
RAILROAD MEDICARE
KY
01
—
P00748929
RAILROAD MEDICARE
OH
Enumeration date
05/31/2007
Last updated
05/28/2015
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