Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAINE P ANDERSEN, MD
Active Sole ProprietorDR. BLAINE P ANDERSEN, MD is a Surgery of the Hand (Plastic) healthcare provider located in LOGAN, Utah. NPI 1538279609 is currently active in the NPPES registry. Verify at CMS.
Surgery of the Hand (Plastic) · LOGAN, UT
Registration Details
- NPI Number
- 1538279609
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.768298810818 yrs)
- Last Updated
- Nov 10, 2016
- Licenses
-
1788161205 (UT)1788168905 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1300 N 500 E#260LOGAN, UT, 843412408Browse UT providers · Browse ZIP 84341
- Phone
- 4357533400
- Fax
- 4357878887
- Primary Specialty
-
Surgery of the Hand (Plastic)
2082S0105X
- Additional Specialty
- Surgery of the Hand (Plastic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.