IndividualActive
Jack Smith, M.D.
NPI 1194797662 · Otolaryngology Physician · Anchorage, AK
Provider details
- NPI number
- 1194797662
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0959 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4001 Dale St
#201
Anchorage, AK 99508-5428
Phone: (907) 561-1185
Approximate (ZIP-level) locationGet directions
Mailing address
11060 Birch Rd
Anchorage, AK 99516-1711
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.