Individual
MR. ALLAN L ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
9690 S 1300 E, SUITE 200, SANDY, UT 84094-3721
(801) 501-4305
(801) 501-4308
Mailing address
9690 S 1300 E, SUITE 200, SANDY, UT 84094-3721
(801) 501-4305
(801) 501-4308
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1048354101
UT
Other
Enumeration date
04/18/2006
Last updated
12/23/2008
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