Individual
ANDREW P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10214 N TATUM BLVD STE A600, PHOENIX, AZ 85028-4247
(602) 406-1530
(602) 406-1539
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28031
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020050365
MEDICARE RAILROAD UHC
AZ
05
—
509680
—
AZ
Enumeration date
03/24/2006
Last updated
12/10/2024
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