Provider Demographics
NPI:1023245123
Name:SMOCK, ANDREW Z (MD)
Entity type:Individual
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First Name:ANDREW
Middle Name:Z
Last Name:SMOCK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5400 FRANTZ RD
Mailing Address - Street 2:STE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:945 BETHESDA DR
Practice Address - Street 2:SUITE 340
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-0801
Practice Address - Country:US
Practice Address - Phone:740-455-4923
Practice Address - Fax:740-586-6899
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
OH35123285208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology