MEDICARE: SCOTT G ANDERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	6999225-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	6999225120001	OTHER	UT	REGENCE BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194838128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT G ANDERS MD

Provider Business Mailing Address
First Line	:	6985 UNION PARK CTR
Second Line	:	SUITE 500
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84047-4177
Country	:	US
Telephone Number	:	801-568-5948
Fax Number	:	801-571-1369

Provider Business Practice Location Address
First Line	:	6985 UNION PARK CTR
Second Line	:	SUITE 500
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84047-4177
Country	:	US
Telephone Number	:	801-568-5948
Fax Number	:	801-571-1369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	11/30/2011

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Directions to “ SCOTT G ANDERS MD” Practice Location

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