Individual
SCOTT ANJEWIERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
81 MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112-0001
(801) 581-2121
Mailing address
81 MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112-0001
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31602
MN
208000000X
Pediatrics Physician
71909
MN
2080P0202X
Pediatric Cardiology Physician
Primary
13896264-1205
UT
Other
Enumeration date
03/26/2021
Last updated
03/28/2024
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