Individual
RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Mailing address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5804
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
01/14/2026
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