MR. Ryan Lee Smith, PA-C
NPI #1053633297 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1053633297
- Entity Type
- Individual
- Name
- MR. Ryan Lee Smith, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 15, 2010
- Last Updated
- Oct 14, 2021
Practice Location
- Address
- 109 E HARRISON AVE
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-3238
- Phone
- (208) 292-0281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant - Surgical — Surgical |
| Physician Assistant |
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