Individual
PHILLIP RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2505 W BEEBE CAPPS EXPY, SEARCY, AR 72143-4909
(501) 278-2800
Mailing address
2505 W BEEBE CAPPS EXPY, SEARCY, AR 72143-4909
(501) 278-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-962
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261304795
—
AR
Enumeration date
08/05/2019
Last updated
03/17/2021
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