Individual
MR. MARTIN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-9441
(800) 591-0121
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-9441
(800) 591-0121
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
280
AK
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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