Individual provider · NPI-1

Dr. Nathan Edward Anderson, D.O.

Family Medicine · Provo, UT

NPI number1437598091

StatusActive

Last updated in NPPESApr 7, 2026

Details

NPI: 1437598091
Entity type: Individual (NPI-1)
Name: Dr. Nathan Edward Anderson
Credential: D.O.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 17, 2013
Certification date: Apr 7, 2026
Last updated: Apr 7, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	5498788-1204	UT	Yes

Practice location

395 W Cougar Blvd Ste 603
Provo, UT 84604-3331

Phone 801-373-3300

Mailing address

Po Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

3200 N Canyon Rd Ste D
Provo, UT 84604-4678

Phone 801-373-3300

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