Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB GLEN ANDERSON, MD
ActiveJACOB GLEN ANDERSON, MD is a Pediatric Rheumatology healthcare provider located in SALT LAKE CITY, Utah. NPI 1821733080 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rheumatology · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1821733080
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2022 (4.4922887458187 yrs)
- Last Updated
- Mar 19, 2025
- Licenses
-
390200000X14210863-1205 (UT)
Practice Information
- Address
-
81 N MARIO CAPECCHI DR # 4B056SALT LAKE CITY, UT, 841131125Browse UT providers · Browse ZIP 84113
- Phone
- 8015812121
- Primary Specialty
-
Pediatric Rheumatology
2080P0216X
- Additional Specialty
- Pediatric Rheumatology
Other Pediatric Rheumatology Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| JOHN F. BOHNSACK | — | 1609955277 |
| DR. AIMEE O HERSH | M.D. | 1497960900 |
| SARA MICHELLE STERN | M.D. | 1902163553 |
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.