Bryson Wells Anderson
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1871410126
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1871410126
- Entity type
- Individual (NPI-1)
- Name
- Bryson Wells Anderson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2026
- Certification date
- Jun 30, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
27 S Mario Capecchi DrSalt Lake City, UT 84112-5888
Phone 801-581-7498
Mailing address
27 S Mario Capecchi DrSalt Lake City, UT 84112-5888
Phone 801-581-7498
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