Individual
JEREMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1416 S JONES BLVD, LAS VEGAS, NV 89146-1231
(702) 878-1400
(888) 263-5542
Mailing address
500 FOOTHILL DR, SLC, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
11354714-0501
UT
213E00000X
Podiatrist
Primary
2077
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2018
Last updated
08/03/2022
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