Smith, Andrew Gerald
Smith, Andrew Gerald is an individual health care provider with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Smith, Andrew Gerald can be contacted via phone (801) 662-3673.Contact Information
Primary practice address
100 Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-3673
Fax: (801) 662-3664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | TL3586 | Idaho |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 5412561-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5412561-1205 | Utah |
Profile Details
| NPI number | 1033111810 |
|---|---|
| LBN Legal business name | Smith, Andrew Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jun 22nd, 2017 - about 7 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 | 1033111810 | NPPES |
| Idaho | MEDICAID | 807219800 |
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