Individual provider · NPI-1

Michael David Anderson, DPM

Podiatrist, Foot & Ankle Surgery · Salt Lake City, UT

NPI number1508506189
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1508506189
Entity type
Individual (NPI-1)
Name
Michael David Anderson
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2022
Certification date
Jun 9, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery13466281-0501UTYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

6322 S 3000 E Ste 100
Salt Lake City, UT 84121-6931

Phone 801-965-3600

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602

Phone 801-965-3600

Other practice locations

928 E Sapphire Hill Way
Draper, UT 84020-1629

Phone 801-641-1579

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