NPI 1356342539 · live from the CMS NPI Registry
David S Anderson, PAC
Physician Assistant in Salt Lake City, UT. National Provider Identifier 1356342539, active.
NPI record
| NPI | 1356342539 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 6321 S Redwood Rd Ste 201, Salt Lake City, UT 84123 |
| Practice phone | 801-265-2212 |
| Mailing address | Po Box 35380, Las Vegas, NV 89133 |
| Enumerated | August 10, 2005 |
| Last updated | June 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 210600-1206 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.