Dr. Peter Corless Anderson
Otolaryngologist (ENT Doctor)
3584 W 9000 S Ste. 311
West Jordan
, Utah 84088-5710
Dr. Peter Corless Anderson
Otolaryngologist (ENT Doctor)
3584 W 9000 S Ste. 311
West Jordan
, Utah 84088-5710
(801) 566-8304
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Peter Corless Anderson
- 3584 W 9000 S Ste. 311
- West Jordan, UT
- Zip : 84088-5710
- Phone : (801) 566-8304
Second Address
- Dr. Peter Corless Anderson
- 3584 W 9000 S Ste. 311
- West Jordan, UT
- Zip : 84088-5710
- Phone : (801) 566-8304
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 5366856-1205 | UT |
National Provider Identifier
| NPI | 1043444516 |
|---|---|
| Provider Name | Dr. Peter Corless Anderson |
| First Address | West Jordan, UT 84088-5710 |
| Second Address | West Jordan, UT 84088-5710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2009 |
| Last Update Date | 23/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5366856-1205 | STATE MEDICAL LICENSE (01) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.