Organization
ALAN E SMITH JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN EDWARD SMITH JR. MD (OWNER - AUTHORIZED OFFICIAL)
(307) 674-5123
Entity
Organization
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1000
Mailing address
PO BOX 767, SHERIDAN, WY 82801-0767
(307) 674-5123
(307) 674-5230
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312820
BCBS OF WYO GROUP PIN
WY
Enumeration date
02/06/2007
Last updated
05/20/2008
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