Individual
SHANNON DENISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3340 PROVIDENCE DR, SUITE 500, ANCHORAGE, AK 99508-4616
(907) 562-2423
(907) 563-1170
Mailing address
3340 PROVIDENCE DR, SUITE 500, ANCHORAGE, AK 99508-4616
(907) 562-2423
(907) 563-1170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
510
AK
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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