Individual
PETER ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10011 CENTENNIAL PKWY, SANDY, UT 84070-4156
(801) 993-9527
Mailing address
2710 CANTON LN, SANDY, UT 84092-7125
(801) 501-0323
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
279983-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107004000103
IHC
UT
01
—
674382
DMBA
UT
01
—
72741
PEHP
UT
01
—
870372827PAN
EDUCATORS
UT
01
—
88075
PEHP
UT
01
—
PRA07350
MOLINA
UT
01
—
QM0000076551
ALTIUS
UT
Enumeration date
07/10/2006
Last updated
07/08/2007
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