NPI 1245455096

Mark Vernon Anderson, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Salt Lake City, UT

Practice location

Address: 2390 S Redwood Rd, Salt Lake City, UT 84119-2027
Phone: (801) 975-1600
Fax: (801) 975-1666
Mailing address: 4018 Prospector Dr, Salt Lake City, UT 84121-4609

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 1660581205 (UT)

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Registry record

NPI: 1245455096
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.