Individual
MIKOL ROBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1250 E 3900 S, SUITE 420, SALT LAKE CITY, UT 84124-1348
(801) 269-9939
(801) 269-9949
Mailing address
PO BOX 932, SANDY, UT 84091-0932
(801) 553-9568
(801) 553-9562
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
59638310501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992910905
—
UT
Enumeration date
05/12/2007
Last updated
10/31/2008
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