Smith, Andrew
Smith, Andrew is an individual health care provider with primary practice located at 6095 S Fashion Blvd Ste 100 , Murray UT 84107-7377. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Smith, Andrew can be contacted via phone (801) 263-8700.Contact Information
Primary practice address
6095 S Fashion Blvd Ste 100
Murray UT 84107-7377
Phone: (801) 263-8700
Fax: (801) 263-8693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35084855 | Ohio |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 8771272-1205 | Utah |
Profile Details
| NPI number | 1164468955 |
|---|---|
| LBN Legal business name | Smith, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164468955 | NPPES |
| Other | 000000351769 | ANTHEM | |
| Other | 659345 | ANTHEM | |
| Other | 0409999 | ANTHEM | |
| Other | 283621 | ANTHEM |
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