Wellformed AI

NPI 1992797492 · live from the CMS NPI Registry

Gregory S Anderson, DPM

Podiatrist, Foot & Ankle Surgery in Salt Lake City, UT. National Provider Identifier 1992797492, active.

NPI record

NPI1992797492 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location6322 S 3000 E Ste 100, Salt Lake City, UT 84121
Practice phone801-352-5900
Mailing address2965 W 3500 S, West Valley City, UT 84119
EnumeratedAugust 19, 2005
Last updatedJanuary 8, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X1049360501 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.