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NPI Code Detail

MEDICARE: ROBERT L ANDRES MD

MEDICARE: ROBERT L ANDRES 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
1207VM0101XMaternal & Fetal Medicine Physician173802-1205UT

General Provider Information

NPI Number : 1356362875
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L ANDRES MD
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-387-4647
Fax Number :
Provider Business Practice Location Address
First Line : 4401 HARRISON BLVD STE 4600
Second Line :
City : OGDEN
State : UT
Zip : 84403-3195
Country : US
Telephone Number : 801-387-4647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 04/07/2026

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Directions to “ ROBERT L ANDRES MD” Practice Location

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