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Ryan Gregory Smith, MD
Student in an Organized Health Care Education/Training Program in Upland, California
NPI 1164809851

Ryan Gregory Smith is a Student in an Organized Health Care Education/Training Program based in Upland, CA. Ryan Gregory Smith practices in Upland, CA and has the professional credentials of MD. The NPI Number for Ryan Gregory Smith is 1164809851 and holds a License No. C1-0025611 (California).

The current practice location address for Ryan Gregory Smith is 555 N 13Th Ave, Upland, CA and can be reached out via phone at 909-277-2420 and via fax at 909-206-1097.

Location: 555 N 13Th Ave, Upland, CA, 91786-4904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164809851
Provider Name
Ryan Gregory Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
555 N 13Th Ave, Upland, CA, 91786-4904
Phone Number
909-277-2420
Fax Number
909-206-1097
Provider Enumeration Date
05/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C1-0025611 01 DE MD LICENSE
1164809851 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
555 N 13Th Ave
City
Upland
State
California
Zip
91786-4904
Phone Number
909-277-2420
Fax Number
909-206-1097
person
Provider Business Mailing Address Details
Address
555 N 13Th Ave
City
Upland
State
California
Zip
91786-4904
Phone Number
909-277-2420
Fax Number
909-206-1097
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
A144479 (California)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Cornea and External Diseases Specialist
Taxonomy
207WX0120X
License No.
A144479 (California)
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
C1-0025611 (Delaware)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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