Individual
ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7390 S CREEK RD STE 201, SANDY, UT 84093-6123
(801) 263-8700
(801) 263-8693
Mailing address
6095 S FASHION BLVD STE 100, MURRAY, UT 84107-7377
(801) 263-8700
(801) 263-8693
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
8771272-1205
UT
207R00000X
Internal Medicine Physician
35084855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000351769
ANTHEM
—
01
—
0409999
UNITED
—
01
—
283621
AMERIGROUP
—
01
—
659345
AETNA
—
Enumeration date
06/21/2006
Last updated
10/14/2024
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