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NPI Code Detail

MEDICARE: RYAN L SMITH M.D.

MEDICARE:   RYAN L SMITH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician37560IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356328314
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN L SMITH M.D.
Provider Business Mailing Address
First Line : 1416 6TH ST SW
Second Line :
City : MASON CITY
State : IA
Zip : 50401-4818
Country : US
Telephone Number : 641-424-0102
Fax Number :
Provider Business Practice Location Address
First Line : 1416 6TH ST SW
Second Line :
City : MASON CITY
State : IA
Zip : 50401-4818
Country : US
Telephone Number : 641-424-0102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 03/09/2021

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Directions to “ RYAN L SMITH M.D.” Practice Location

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