Healthcare Provider Details

I. General information

NPI: 1013666494
Provider Name (Legal Business Name): JARETT D ANDERSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 5TH AVE STE 500
PITTSBURGH PA
15213-3427
US

IV. Provider business mailing address

2002 HEMLOCK LN
MARS PA
16046-7201
US

V. Phone/Fax

Practice location:
  • Phone: 800-533-8762
  • Fax:
Mailing address:
  • Phone: 801-656-7069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: