Individual
JEFFERY W ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5640 S 3500 W, ROY, UT 84067-9158
(801) 773-2838
(801) 773-3025
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
325314-1206
UT
Other
Enumeration date
04/27/2006
Last updated
11/27/2023
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