Whalio Doctors

NPI 1104317262

Ryan Alexander Smith, MD

Practitioner Physical Medicine & Rehabilitation Physician Santa Rosa, CA

Practice location

Address
3975 Old Redwood Hwy STE 152, Santa Rosa, CA 95403-1719
Phone
(310) 478-3711

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence A165869 (CA)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence R76953 (AZ)

Registry record

NPI
1104317262
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 May 2018
Record last updated
31 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.