Individual
DR. CRAIG W ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
756 EAST 12200 SOUTH, DRAPER, UT 84020-9724
(801) 328-2522
(801) 533-0589
Mailing address
22 SOUTH 900 EAST, SALT LAKE CITY, UT 84102
(801) 328-2522
(801) 533-0589
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
163354-1205
UT
207Y00000X
Otolaryngology Physician
Primary
1633541205
UT
Other
Enumeration date
05/05/2006
Last updated
10/06/2011
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