Individual
DR. MARK T. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4015 LAKE OTIS PKWY STE 201, ANCHORAGE, AK 99508-5235
(907) 375-5200
(907) 375-5203
Mailing address
4015 LAKE OTIS PKWY STE 201, ANCHORAGE, AK 99508-5235
(907) 375-5200
(907) 375-5203
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
222405
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00871109A
—
GA
05
—
1750606
—
AK
05
—
185169
—
SC
Enumeration date
12/22/2005
Last updated
11/04/2025
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