Richard L Anderson
Ophthalmologist Plastic and Reconstructive Surgery
1002 E South Temple Suite 308
Salt Lake City
, Utah 84102
Richard L Anderson
Ophthalmologist Plastic and Reconstructive Surgery
1002 E South Temple Suite 308
Salt Lake City
, Utah 84102
(801) 533-9613
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About
Features
Specialties
- Ophthalmologist
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Richard L Anderson
- 1002 E South Temple Suite 308
- Salt Lake City, UT
- Zip : 84102
- Fax : (801) 533-9613
- Phone : (801) 363-3355
Second Address
- Richard L Anderson
- 1002 E South Temple Suite 308
- Salt Lake City, UT
- Zip : 84102
- Fax : (801) 533-9613
- Phone : (801) 363-3355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 1719791205 | UT |
| N | 2086S0122X | Plastic and Reconstructive Surgery | 1719791205 | UT |
National Provider Identifier
| NPI | 1295784759 |
|---|---|
| Provider Name | Richard L Anderson |
| First Address | Salt Lake City, UT 84102 |
| Second Address | Salt Lake City, UT 84102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 16/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000015385 | (05) | MT |
| 003081100 | (05) | ID |
| 107005682104 | IHC SELECT HEALTH (01) | UT |
| 108052100 | (05) | WY |
| 115514700 | (05) | WY |
| 180035927 | RAILROAD MEDICARE (01) | |
| 3007900003 | CIGNA (01) | |
| 36411 | DMBA (01) | |
| 4116234 | AETNA (01) | |
| 439484 | CCN (01) | |
| 44847 | PEHP (01) | |
| 62413 | MAILHANDLERS (01) | |
| 87048492484102A002 | TRICARE (01) | |
| D20287 | (02) | |
| QM0000029601 | ALTIUS (01) |
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.