# DOUGLAS CARTER SMITH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Douglas Carter Smith, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023169109
- **Authorized official:** JOSEPH E BEATY (BILLING AGENT)
- **Authorized official phone:** (907) 770-2301

## Contact information

- **Practice address:** 17741 MOUNTAINSIDE VILLAGE DR, ANCHORAGE, AK 99516-5756
- **Practice address phone:** (907) 345-0728
- **Practice address fax:** (907) 345-0728
- **Mailing address:** PO BOX 241769, ANCHORAGE, AK 99524-1769
- **Mailing address phone:** (907) 770-2380
- **Mailing address fax:** (907) 770-2325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 112749 | AK | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 04/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MGD157 | — | AK |