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Individual

JASON L ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1215 S 1680 W, OREM, UT 84058-4939
(385) 277-0900
(801) 465-3267
Mailing address
1215 S 1680 W, OREM, UT 84058-4939
(385) 277-0900
(801) 465-3267

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
6147456-1204
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
6147456-1204
UT
2084P0804X
Child & Adolescent Psychiatry Physician
O-0961
ID

Other

Enumeration date
10/03/2006
Last updated
12/26/2024
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