Individual
DR. RYAN MICHAEL SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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