Individual
MICHAEL DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6322 S 3000 E STE 100, SALT LAKE CITY, UT 84121-6931
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
13466281-0501
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2022
Last updated
06/09/2025
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