Jack A. Smith M.D.
Otolaryngology Physician in Anchorage, AK(View on Map)
Full Name
Jack Arlyn Smith M.D.
NPI Number
1194797662
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/07/2006
Specialties
(Taxonomies)Licenses
State
Alaska
License Number
0959
Contact
Information
Purpose
Mailing
Location
Address
11060 BIRCH RD
4001 DALE ST
City
Anchorage
Anchorage
State
AK
AK
Postal Code
99516-1711
99508-5428
Country
US
US
Telephone Number
(907) 346-2839
(907) 561-1185
Identifiers
Identifier
MD0959
Identifier State
AK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
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Jennifer Wingate MD
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Donald Endres M.D.
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