Individual
HAROLD CLIFFORD SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 BARTLETT ST, HOMER, AK 99603-7005
(907) 235-8101
(907) 235-0877
Mailing address
PO BOX 869, HOMER, AK 99603-0869
(907) 235-7073
(907) 235-7073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1961
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1961
—
AK
01
—
P00464955
MEDICARE RAILROAD
AK
Enumeration date
12/07/2005
Last updated
07/08/2010
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