NPI 1992910905 · live from the CMS NPI Registry
Mikol Robert Anderson, DPM
Podiatrist in Salt Lake City, UT. National Provider Identifier 1992910905, active.
NPI record
| NPI | 1992910905 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1250 E 3900 S, Suite 420, Salt Lake City, UT 84124 |
| Practice phone | 801-269-9939 |
| Mailing address | Po Box 932, Sandy, UT 84091 |
| Enumerated | May 12, 2007 |
| Last updated | October 31, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 59638310501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.