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Individual

JULIAN DAVID SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2800 PROVIDENCE DR, ANCHORAGE, AK 99508-4623
(907) 269-7150
Mailing address
2440 E TUDOR RD # 1117, ANCHORAGE, AK 99507-1185

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
809
AK

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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