Individual
RYAN R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2123 S HIGHWAY 92, SIERRA VISTA, AZ 85635-5269
(520) 459-5199
(520) 459-1303
Mailing address
2133 S HIGHWAY 92, SIERRA VISTA, AZ 85635-5269
(520) 459-5199
(520) 459-1303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z5778
HEALTHNET
—
Enumeration date
08/15/2006
Last updated
10/12/2017
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