Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON L ANDERSEN, DO
ActivePsychiatric Neurology · OREM, UT
Registration Details
- NPI Number
- 1932293727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.547984920473 yrs)
- Last Updated
- Dec 26, 2024
- Licenses
-
6147456-1204 (UT)O-0961 (ID)6147456-1204 (UT)
Practice Information
- Address
-
1215 S 1680 WOREM, UT, 840584939Browse UT providers · Browse ZIP 84058
- Phone
- 3852770900
- Fax
- 8014653267
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychiatric Neurology
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.