Male or Other

Ryan L. Smith DO

Family Medicine Physician in Tulsa, OK(View on Map)

Full Name

Ryan Lynn Smith DO

NPI Number

1316357437

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/28/2014

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

5816

Contact
Information

Purpose

Mailing
Location

Address

1923 S UTICA AVE
1717 S UTICA AVE STE A

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74104-6520
74104-5346

Country

US
US

Telephone Number

(918) 403-7054
(918) 748-7557

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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