Individual
DARREN V ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-3777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
390200000X
CT
207L00000X
Anesthesiology Physician
Primary
5461607-1205
UT
207L00000X
Anesthesiology Physician
MD28052
OR
Other
Enumeration date
07/30/2007
Last updated
12/13/2019
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