Individual
RYAN BLAKE SMITHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 N WASHINGTON ST, EAST PRAIRIE, MO 63845-1146
(573) 649-3026
Mailing address
402 N WASHINGTON ST, EAST PRAIRIE, MO 63845-1146
(573) 649-3026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015036251
MO
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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