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Dr. Michael Anderson, M.D.

Orthopaedic Surgery in St George, UT. Individual provider (NPI-1).

NPI number1093792210
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1093792210
Entity type
Individual (NPI-1)
Name
Dr. Michael Anderson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 29, 2005
Certification date
Mar 19, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery1722171205UTYes

Practice location

1490 E Foremaster Dr
#150
St George, UT 84790-4488

Phone 435-628-9393 · Fax 435-628-9382

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305

Phone 801-354-8225 · Fax 801-418-0941

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