Individual
NICHOLAS W. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
(801) 408-1618
Mailing address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
(801) 408-1618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MDR-7685
HI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
12857162-1205
UT
Other
Enumeration date
05/24/2019
Last updated
06/02/2022
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