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1649385154
DERYK L ANDERSON
WEST JORDAN, UT
NPI
1649385154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 881785201205)
Enumeration Date
2006-08-21
Last Update Date
2007-09-28
Business Address
-- DERYK L ANDERSON MD
2655 W 9000 S
WEST JORDAN, UT 84088-8542
Phone number: 801-568-9933
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Mailing Address
-- DERYK L ANDERSON MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-233-4400
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