Anderson, Russell Steven
Anderson, Russell Steven is an individual health care provider with primary practice located at 777 N Main St , Tooele UT 84074-1611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Russell Steven can be contacted via phone (435) 843-2364.Contact Information
Primary practice address
777 N Main St
Tooele UT 84074-1611
Phone: (435) 843-2364
Fax: (435) 228-0062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5148252-8904 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5148252-1204 | Utah |
Profile Details
| NPI number | 1548407513 |
|---|---|
| LBN Legal business name | Anderson, Russell Steven |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2009 |
| Last updated | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548407513 | NPPES |
| Utah | MEDICAID | 1548407513 |
Popular Providers
-
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Beazer, Blake Richard
2356 N 400 E Ste 201, Tooele UT 84074 -
Minnehan, Haley J
701 Lewiston St , Cottonwood ID 83522-9750 -
Dinh, An Tuong
210 Millpond , Tooele UT 84074-8187 -
Holt, Charles E
280 N Main St , Tooele UT 84074-1650 -
Patrone, Nicole
58 S Main St , Tooele UT 84074-2132 -
Bissegger-Cozad, Cristi
502 Delancey St , Tooele UT 84074-7430