Search › Utah › 207Q00000X
Russell Anderson, D.O
NPI 1548407513 · on the registry since 2009
Practice
- Address
- 777 N Main St
Tooele, UT 84074 - Phone
- (435) 843-2364
- Fax
- (435) 228-0062
- Organisation at this address
- Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-07
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