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NPI 1992910905

IndividualActive

Mikol Anderson, DPM

NPI 1992910905 · Podiatrist · Salt Lake City, UT

Provider details

NPI number: 1992910905
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: DPM
Sex: Male
Sole proprietor: No
License: 59638310501 (UT)

Practice location

1250 E 3900 S

Suite 420

Salt Lake City, UT 84124-1348

Phone: (801) 269-9939

Fax: (801) 269-9949

More UT providers

Mailing address

Po Box 932

Sandy, UT 84091-0932

Registry dates

Enumerated: 2007-05-12
Last updated: 2008-10-31

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

Mikol Anderson, DPM — NPI 1992910905, Salt Lake City, UT | NPI Central