Individual
DR. RYAN MICHAEL SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 HOGAN LN STE 500, CONWAY, AR 72034-7970
(501) 764-4443
(501) 764-4454
Mailing address
821 HOGAN LN STE 500, CONWAY, AR 72034-7970
(501) 764-4443
(501) 358-9894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
82349
SC
208000000X
Pediatrics Physician
Primary
E-12104
AR
Other
Enumeration date
03/29/2016
Last updated
08/08/2025
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