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Individual

SCOTT G ANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6985 UNION PARK CTR, SUITE 500, COTTONWOOD HEIGHTS, UT 84047-4177
(801) 568-5948
(801) 571-1369
Mailing address
6985 UNION PARK CTR, SUITE 500, COTTONWOOD HEIGHTS, UT 84047-4177
(801) 568-5948
(801) 571-1369

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6999225-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194838128
UT
01
6999225120001
REGENCE BLUE CROSS
UT
05
T72276
SC
Enumeration date
08/16/2006
Last updated
11/30/2011
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