Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 35123285 | OH |
NPI | 1023245123 |
---|---|
Provider Name | Andrew Z Smock |
First Address | Dublin, OH 43016-4144 |
Second Address | Zanesville, OH 43701-0801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 25/01/2022 |