| Doctor Name: | RIPP A SMITH |
| NPI Number: | 1013997956 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME70749 |
| Business Practice Address: | 400 Health Park Blvd Attn: St. Johns Radiology Associates St Augustine, FL - 320865784 |
| Business Phone Number: | 9048194398 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1183, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462061183 |
| Phone Number: | 8774400553 |
| Fax Number: | 3177055060 |
| NPI Enumeration Date: | 01/18/2006 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | ME70749 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |