| NPI | 1841736501 |
|---|---|
| Other Name | BLAINE P. ANDERSEN, M.D. |
| Entity Type | Organization |
| Authorized Contact | BLAINE P ANDERSEN Physician 435-753-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 1788161205) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |