Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Michael Southard, MD

Individual provider Pediatrics Physician · NPI 1093178915

Dr. Ryan Michael Southard, MD is a Pediatrics Physician in Conway, Arkansas. Practices as a sole proprietor. Licensed in Arkansas and South Carolina.

Licensed in
AR, SC
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

821 Hogan Ln Ste 500
Conway, AR 72034-7970
Phone: (501) 764-4443
Fax: (501) 764-4454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence E-12104 (AR)
Pediatrics Physician Taxonomy 208000000X · Licence 82349 (SC)

Record details

NPI number1093178915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2016
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

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