Individual
DR. ZACHARY VAL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 300 W STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Mailing address
1055 N 300 W STE 401, PROVO, UT 84604-3306
(801) 669-3557
(801) 373-5980
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
12203342-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659735348
—
UT
Enumeration date
04/08/2016
Last updated
05/11/2021
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