Individual
DR. SEAN D ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5405 S 500 E STE 202, OGDEN, UT 84405-7419
(801) 475-1928
(801) 475-1808
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
5585387-1204
UT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
O-0868
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2011
Last updated
03/15/2021
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