Dr. Nathan Edward Anderson, D.O.
Family Medicine in Provo, UT. Individual provider (NPI-1).
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 603Provo, UT 84604-3331
Phone 801-373-3300
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Other practice locations
3200 N Canyon Rd Ste D
Provo, UT 84604-4678
Provo, UT 84604-4678
Phone 801-373-3300
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