Organization
KATMAI ONCOLOGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SMILEY MD (PARTNER)
(907) 562-0321
Entity
Organization
Contact information
Practice address
3851 PIPER STREET, #U340, ANCHORAGE, AK 99508-4627
(907) 562-0321
(907) 562-2683
Mailing address
PO BOX 74900, CHICAGO, IL 60675-4900
(602) 441-9520
(907) 562-2683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020811
—
AK
Enumeration date
06/12/2006
Last updated
12/24/2025
Update your record
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