Individual provider · NPI-1
Bret Sanford Andrew, MD
Family Medicine · Provo, UT
NPI number1881453264
StatusActive
Last updated in NPPESApr 7, 2026
Details
- NPI
- 1881453264
- Entity type
- Individual (NPI-1)
- Name
- Bret Sanford Andrew
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Apr 7, 2026
- Last updated
- Apr 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 14241780-1205 | UT | Yes |
Practice location
395 W Cougar Blvd Ste 205Provo, UT 84604-3328
Phone 801-357-1770
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Phone 801-357-1770
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