Individual
MR. RYLAN ROYCE SMELCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 213-0746
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 213-0746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023025912
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/27/2020
Last updated
09/12/2023
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