Individual
DR. MARK VERNON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2390 S REDWOOD RD, SALT LAKE CITY, UT 84119-2027
(801) 975-1600
(801) 975-1666
Mailing address
4018 PROSPECTOR DR, SALT LAKE CITY, UT 84121-4609
(801) 975-1600
(801) 975-1666
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
1660581205
UT
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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