Individual
DR. JOSEPH ROBERT ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5929 FASHION POINT DR, SUITE 101, OGDEN, UT 84403-4672
(801) 476-0052
(801) 476-0064
Mailing address
5929 FASHION POINT DR, SUITE 101, OGDEN, UT 84403-4672
(801) 476-0052
(801) 476-0064
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
82-168120-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000972
RAILROAD MEDICARE
—
Enumeration date
06/01/2005
Last updated
01/11/2011
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