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Individual

SHARON SMOTHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
700 KATLIAN ST STE E, SITKA, AK 99835-7359
(907) 747-5861
(907) 747-5415
Mailing address
700 KATLIAN ST STE E, SITKA, AK 99835-7359
(907) 747-5861
(907) 747-5415

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
369
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD0079
AK
Enumeration date
03/06/2007
Last updated
06/30/2011
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