Individual
TINA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4315 DIPLOMACY DR, ALASKA NATIVE MEDICAL CENTER, ANCHORAGE, AK 99508-5926
(907) 280-7579
Mailing address
4315 DIPLOMACY DR, ALASKA NATIVE MEDICAL CENTER, ANCHORAGE, AK 99508-5926
(907) 280-7579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1585122
—
AK
Enumeration date
10/12/2006
Last updated
05/27/2014
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