Individual
WADE MOYLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
85 N. 100 E., SUITE A, GUNNISON, UT 84634-0849
(435) 528-7202
(435) 528-3624
Mailing address
PO BOX 849, SUITE A, GUNNISON, UT 84634-0849
(435) 528-7202
(435) 528-3624
Taxonomy
Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
6817642-1206
UT
364SF0001X
Family Health Clinical Nurse Specialist
Primary
6817642-1206
UT
Other
Enumeration date
01/14/2008
Last updated
03/08/2016
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