Individual
EASTON ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W 1450 S, OREM, UT 84058-7327
(208) 223-2638
Mailing address
350 W 1450 S, OREM, UT 84058-7327
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
79593
ID
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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