NPI 1194780783 · live from the CMS NPI Registry
Allan L Andersen, MS
Audiologist in Sandy, UT. National Provider Identifier 1194780783, active.
NPI record
| NPI | 1194780783 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 9690 S 1300 E, Suite 200, Sandy, UT 84094 |
| Practice phone | 801-501-4305 |
| Enumerated | April 18, 2006 |
| Last updated | December 23, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 1048354101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.