Individual
ALAN EDWARD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
(540) 981-7855
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101290031
VA
207L00000X
Anesthesiology Physician
7044A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094843
MONTANA MEDICAID PIN
MT
05
—
119655300
—
WY
01
—
312820
BCBS OF WYOMING PIN
WY
Enumeration date
02/06/2007
Last updated
07/23/2026
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