Individual
STEVEN W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-3281
(907) 486-9546
Mailing address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-3281
(907) 486-9546
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2812
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2812
LICENSE NUMBER
AK
05
—
MD2812
—
AK
Enumeration date
08/31/2006
Last updated
03/07/2023
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