Individual
MATTHEW DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W COUGAR BLVD STE 801, PROVO, UT 84604-3311
(801) 229-1054
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 229-1054
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
7035268-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2018
Last updated
04/07/2026
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