Individual
DEREK W ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 E 3900 S, SALT LAKE CITY, UT 84107-1901
(801) 261-3141
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3789751205
UT
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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