Individual
DR. RODERIC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MEDS4904
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014588
—
AK
05
—
4654
—
AK
Enumeration date
03/29/2006
Last updated
01/14/2025
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