MEDICARE: AARON S ANDERSON M.D.

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	207QS0010X	Sports Medicine (Family Medicine) Physician	7419466-1205	UT

General Provider Information

NPI Number	:	1730317348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON S ANDERSON M.D.

Provider Business Mailing Address
First Line	:	3401 N THANKSGIVING WAY STE 190
Second Line	:
City	:	LEHI
State	:	UT
Zip	:	84048-4157
Country	:	US
Telephone Number	:	801-830-9887
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 N THANKSGIVING WAY STE 190
Second Line	:
City	:	LEHI
State	:	UT
Zip	:	84048-4157
Country	:	US
Telephone Number	:	801-830-9887
Fax Number	:

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

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	01/26/2026

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