Individual
DR. DEREK SCOTT ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2376 N 400 E STE 204, TOOELE, UT 84074-3413
(610) 983-1000
Mailing address
2376 N 400 E STE 204, TOOELE, UT 84074-3413
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006858
PA
Other
Enumeration date
06/20/2017
Last updated
02/16/2023
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