Individual
DR. RYAN ALEXANDER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3975 OLD REDWOOD HWY STE 152, SANTA ROSA, CA 95403-1719
(310) 478-3711
Mailing address
3975 OLD REDWOOD HWY STE 152, SANTA ROSA, CA 95403-1719
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A165869
CA
208600000X
Surgery Physician
R76953
AZ
Other
Enumeration date
05/24/2018
Last updated
03/31/2024
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