MR. RYAN SMITH, PA-C

Physician Assistant

Active Individual
NPI: 1053633297

Practice Address

109 E HARRISON AVE
Coeur D Alene, ID 83814

Phone: (208) 292-0281

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No PA-840 (ID)
Physician Assistant - Surgical 363AS0400X No PA-840 (ID)
Physician Assistant 363A00000X Yes PA-840 (ID)

Frequently Asked Questions

NPI 1053633297 is the National Provider Identifier for MR. RYAN SMITH, PA-C, a Physician Assistant provider located in Coeur D Alene, ID. This NPI was enumerated on February 15, 2010.
MR. RYAN SMITH, PA-C practices at 109 E HARRISON AVE, Coeur D Alene, ID 83814.

Quick Facts

NPI
1053633297
Type
Individual
Enumerated
Feb 15, 2010
Last Updated
Oct 14, 2021

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