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Contact Information

DEREK W ANDERSON, MD
617 E 3900 S
SALT LAKE CITY, UT84107-1901
 Phone: 801-261-3141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DEREK W ANDERSON · (Male)

NPI Number 1821069485
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 3789751205
Hospital affiliation(s)
  • LONE PEAK HOSPITAL - (Acute Care)
    11925 S STATE STREET
    DRAPER, UT 84020
  • ST MARKS HOSPITAL - (Acute Care)
    1200 EAST 3900 SOUTH
    SALT LAKE CITY, UT 84124
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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