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Organization

BODYSMITH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN SMITH LMT (CEO)
(925) 784-5526
Entity
Organization

Contact information

Practice address
1113 W FIREWEED LN STE 201, ANCHORAGE, AK 99503-1754
(907) 290-0668
(907) 202-9176
Mailing address
1113 W FIREWEED LN STE 201, ANCHORAGE, AK 99503-1754
(907) 290-0668
(907) 202-9176

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101874
AK

Other

Enumeration date
04/18/2016
Last updated
03/17/2018
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