Parker Sage Anderson

NPI #1073180220 in Midvale, Utah

Provider Information

NPI Number: 1073180220
Entity Type: Individual
Name: Parker Sage Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 7, 2021
Last Updated: Jun 7, 2021

Practice Location

Address: 7498 S SIENA VISTA LN APT B203
City: Midvale
State: Utah
ZIP Code: 84047-4953
Phone: (801) 367-7484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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