Individual provider · NPI-1
Laura M Anderson, MD
Family Medicine, Sports Medicine · Salt Lake City, UT
NPI number1740270867
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1740270867
- Entity type
- Individual (NPI-1)
- Name
- Laura M Anderson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2005
- Certification date
- Dec 29, 2025
- Last updated
- Dec 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 7126799-1205 | UT | Yes |
Practice location
1525 W 2100 SSalt Lake City, UT 84119-1401
Phone 801-587-6308
Mailing address
127 S 500 ESuite140
Salt Lake City, UT 84102-1959
Phone 801-587-6308
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