Search › Utah › 363LF0000X
Jacob Anderson, DNP
NPI 1316329220 · on the registry since 2015 · sole proprietor
Practice
- Address
- 630 E 1400 N Ste 150
Logan, UT 84341 - Phone
- (435) 915-4465
- Fax
- (435) 787-8509
- Organisation at this address
- Vernon Medical Pllc
Vernon Medical Pllc
Sterling Medical Llc
Sterling Provider Group
Back At Work Of Utah LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 740 S Woodruff Ave, Idaho Falls, ID
- 1404 Pomerelle Ave Ste A1, Burley, ID
- 1952 Harrison Drive, Evanston, WY
- 507 S Main St, Hailey, ID
- 2761 Commercial Way, Rock Springs, WY
- 1201 S Main St Ste 110, Logan, UT
- 700 S Highway 91, Richmond, UT
- 7017 S. Daisy Lane, Idaho Falls, ID
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
261QX0100X
261QU0200X
261QP2300X - Licence states on file
- ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah