Dr. Shannon Marie Smith, MD/MPH
Urology in Fairbanks, AK. Individual provider (NPI-1).
NPI number1043673791
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1043673791
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Marie Smith
- Credential
- MD/MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2016
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 232073 | AK | Yes |
| 208800000X | Urology | A172902 | CA |
Practice location
1650 Cowles StFairbanks, AK 99701-5907
Phone 907-458-2630 · Fax 907-459-3508
Mailing address
1650 Cowles StFairbanks, AK 99701-5907
Phone 907-458-2630 · Fax 907-459-3508
Other practice locations
8635 W 3rd St # 420e
Los Angeles, CA 90048-6101
Los Angeles, CA 90048-6101
Phone 310-423-4256 · Fax 310-423-4711
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Other Urology Physician providers in Fairbanks, AK
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All 5 Urology Physician providers in Fairbanks · All 3,932 providers in Fairbanks
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