National Provider Identifier Database

JACOB G ANDERSON, MD – NPI #1821733080
Pediatric Rheumatology

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

JACOB G ANDERSON, MD
81 N MARIO CAPECCHI DR # 4B056
SALT LAKE CITY, UT84113-1125
Phone: 801-581-2121
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Rheumatology 2080P0216X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for JACOB G ANDERSON

NPI Number 1821733080
Credentials MD
Entity Individual
Enumeration date 05/02/2022
Last updated 03/19/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • License #: 390200000X
  • UT License #: 14210863-1205
Hospital affiliation n/a

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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