Provider Demographics
NPI:1588718076
Name:SMITH, ROBERT TORREY (ND)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TORREY
Last Name:SMITH
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3542 W 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1040
Mailing Address - Country:US
Mailing Address - Phone:907-248-9764
Mailing Address - Fax:907-770-6707
Practice Address - Street 1:915 W NORTHERN LIGHTS BLVD
Practice Address - Street 2:AVANTE MEDICAL CENTER
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2408
Practice Address - Country:US
Practice Address - Phone:907-770-6700
Practice Address - Fax:907-770-6707
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK015175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath