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1801854021
KIRK R ANDERSON
PROVO, UT
NPI
1801854021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 1621571205)
Enumeration Date
2006-05-04
Last Update Date
2010-01-11
Business Address
-- KIRK R ANDERSON MD
306 RIVER BEND LN
PROVO, UT 84604-5625
Phone number: 801-226-8880
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Mailing Address
-- KIRK R ANDERSON MD
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-429-8000
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