MICHAEL ANDERSON

PROVO, UT
NPI1023569241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  10117275-1206)
Enumeration Date2016-10-24
Last Update Date2021-09-23
Business Address
MICHAEL ANDERSON PA
1055 N 500 W STE 101
PROVO, UT 84604-3305
Phone number: 801-373-4366
Mailing Address
MICHAEL ANDERSON PA
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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