Organization
MICHAEL B ANDERSON, MD PC
Active
Other names
CORAL DESERT ORTHOPAEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B ANDERSON (OWNER)
(435) 628-9393
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR, # 150, ST GEORGE, UT 84790-4488
(435) 628-9393
Mailing address
1490 E FOREMASTER DR, # 150, ST GEORGE, UT 84790-4488
(435) 628-9393
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1722171205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528849385003
—
UT
Enumeration date
06/28/2006
Last updated
12/20/2007
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