Individual
MRS. ELOWYN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
950 E BOGARD RD, SUITE 233, WASILLA, AK 99654-7184
(907) 357-4543
(907) 357-4533
Mailing address
950 E BOGARD RD, SUITE 233, WASILLA, AK 99654-7184
(907) 357-4543
(907) 357-4533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AK5154
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5469
—
AK
Enumeration date
07/27/2006
Last updated
02/01/2012
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