Provider Demographics
NPI:1851730501
Name:SMITH, ANDREW CHAPMAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHAPMAN
Last Name:SMITH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1871 W ORANGE GROVE RD STE 135
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1289
Mailing Address - Country:US
Mailing Address - Phone:520-382-3050
Mailing Address - Fax:520-382-3055
Practice Address - Street 1:1871 W ORANGE GROVE RD STE 135
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1289
Practice Address - Country:US
Practice Address - Phone:520-382-3050
Practice Address - Fax:520-382-3055
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.013147207X00000X
MI5101020657207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery