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Individual

PETER W ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51848
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
10311897-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
51848
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
PT12754
ND

Other

Enumeration date
08/12/2008
Last updated
04/07/2026
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