Most Relevant Information
Provider Data
| NPI Number: | 1003395328 |
| Provider Name: | SEAN SMITH A.U.D. CCC-A |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 135954 |
Most Important Dates
| Enumeration Date: | 08/08/2018 |
| Last Updated: | 08/19/2020 |
Provider Practice Location
1000 GREG KRUSCHEK AVE
NOME
AK
997620966
Practice Location Phone/Fax
| Phone: | 9074433311 |
| Fax: |
Provider Mailing Location
PO BOX 966
NOME
AK
997620966
Provider Mailing Phone/Fax
| Phone: | 9074433311 |
| Fax: |