Deryk L Anderson, MD
Family Medicine in West Jordan, UT. Individual provider (NPI-1).
NPI number1649385154
StatusActive
Last updated in NPPESSep 28, 2007
Details
- NPI
- 1649385154
- Entity type
- Individual (NPI-1)
- Name
- Deryk L Anderson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Sep 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 881785201205 | UT | Yes |
Practice location
2655 W 9000 SWest Jordan, UT 84088-8542
Phone 801-568-9933
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Phone 801-233-4400 · Fax 801-233-4410
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All 63 Family Medicine Physician providers in West Jordan · All 2,143 providers in West Jordan
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