Individual
MATTHEW TODD ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11760 S 700 E, STE 111, DRAPER, UT 84020-6604
(801) 576-8855
Mailing address
11760 S 700 E, STE 111, DRAPER, UT 84020-6604
(801) 576-8855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54148941205
UT
Other
Enumeration date
02/03/2006
Last updated
12/13/2012
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