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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS W. ANDERSON, MD

Active

NICHOLAS W. ANDERSON, MD is a Sports Medicine (IM) healthcare provider located in SALT LAKE CITY, Utah. NPI 1700443777 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · SALT LAKE CITY, UT

Registration Details

NPI Number
1700443777
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2019 (7.2634679695692 yrs)
Last Updated
Jun 2, 2022
Licenses
MDR-7685 (HI)
12857162-1205 (UT)

Practice Information

Address
30 N 1900 E RM 4C104
SALT LAKE CITY, UT, 841320002
Browse UT providers · Browse ZIP 84132
Phone
8014081618
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Sports Medicine (IM)

Other Sports Medicine (IM) Providers in SALT LAKE CITY, UT

Name Credential NPI
CHITRA LAL LAL MD 1437197175
JAMILE SARAH WOODS MD 1114931540
KEVIN C SHILLING MD 1144233214
HOWARD MICHAEL LEAMAN MD 1043316102
ROBERT J FARNEY MD 1841386513
BOAZ ALEXANDER MARKEWITZ MD 1740370352
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.