Individual
ADAM RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 663-3647
(501) 666-9653
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 663-3647
(501) 666-9653
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
E-10568
AR
208600000X
Surgery Physician
208600000X
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581944YQCR
MEDICARE PTAN
AR
Enumeration date
04/26/2010
Last updated
12/03/2021
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