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NPI Code Detail

MEDICARE: DR. MICHAEL ANDERSON LAYTON DC, PA

MEDICARE: DR. MICHAEL ANDERSON LAYTON DC, PA
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
1111N00000XChiropractorCH00034774WA
2111N00000XChiropractor68376271202UT
3363A00000XPhysician Assistant6837627-1206UT

General Provider Information

NPI Number : 1861692105
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANDERSON LAYTON DC, PA
Provider Business Mailing Address
First Line : 8123 S COTTONWOOD HILLS CIR
Second Line :
City : SANDY
State : UT
Zip : 84094-0873
Country : US
Telephone Number : 503-679-4400
Fax Number :
Provider Business Practice Location Address
First Line : 441 S REDWOOD RD
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84104-3539
Country : US
Telephone Number : 801-973-2588
Fax Number : 801-973-0391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 07/21/2022

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