Individual
DR. NATHAN EDWARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
395 W COUGAR BLVD STE 603, PROVO, UT 84604-3331
(801) 373-3300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5498788-1204
UT
Other
Enumeration date
06/17/2013
Last updated
04/07/2026
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