Organization
DOUGLAS CARTER SMITH
Active
Other names
Douglas Carter Smith, MD
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization
Contact information
Practice address
17741 MOUNTAINSIDE VILLAGE DR, ANCHORAGE, AK 99516-5756
(907) 345-0728
(907) 345-0728
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
112749
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MGD157
—
AK
Enumeration date
01/15/2007
Last updated
04/01/2020
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