Individual
DERYK L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2655 W 9000 S, WEST JORDAN, UT 84088-8542
(801) 568-9933
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 233-4400
(801) 233-4410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
881785201205
UT
Other
Enumeration date
08/21/2006
Last updated
09/28/2007
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