Individual
MR. STANLEY SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
475 N 500 W, VERNAL, UT 84078-1907
(435) 781-6634
Mailing address
475 N 500 W, VERNAL, UT 84078-1907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11482847-1206
UT
363AM0700X
Medical Physician Assistant
11482847-1206
UT
Other
Enumeration date
01/23/2023
Last updated
03/17/2026
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