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Jacob Anderson, MD — NPI 1821733080, Salt Lake City, UT | NPI Central

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NPI 1821733080

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Jacob Anderson, MD

NPI 1821733080 · Pediatric Rheumatology Physician · Salt Lake City, UT

Provider details

NPI number: 1821733080
Entity type: Individual
Primary specialty: Pediatric Rheumatology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 390200000X

Specialties & taxonomies

Pediatric Rheumatology PhysicianPrimary2080P0216XLicense 14210863-1205 (UT)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000XLicense 390200000X
Student, Health Care

Practice location

81 N Mario Capecchi Dr # 4b056

Salt Lake City, UT 84113-1125

Phone: (801) 581-2121

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

81 N Mario Capecchi Dr # 4b056

Salt Lake City, UT 84113-1125

Additional practice locations (1)

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0945

Registry dates

Enumerated: 2022-05-02
Last updated: 2025-03-19
Certified: 2025-03-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.