Anderson, Gregory S

Anderson, Gregory S is an individual health care provider with primary practice located at 6322 S 3000 E Ste 100 , Salt Lake City UT 84121-6931. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Anderson, Gregory S can be contacted via phone (801) 352-5900.

Contact Information

Primary practice address
6322 S 3000 E Ste 100 Salt Lake City UT 84121-6931
Phone: (801) 352-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1049360501 Utah

Profile Details

NPI number 1992797492
LBN Legal business name Anderson, Gregory S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992797492 NPPES
Utah MEDICAID E0156

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