Individual
SUPHITHAYA ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5770 SO 250 E G50, MURRAY, UT 84107
(801) 314-4440
(801) 314-4437
Mailing address
5770 SO 250 E G50, MURRAY, UT 84107
(801) 314-4440
(801) 314-4457
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
47457731205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008989102
IHC
UT
01
—
47457731202001
BCBS
UT
Enumeration date
02/07/2007
Last updated
10/02/2007
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