Individual provider · Type 1 NPI

Michael Anderson, PA

Physician Assistant · Provo, UT

NPI number 1023569241 Active

Practice location

1055 N 500 W Ste 101
Provo, UT 84604-3305

Call (801) 373-4366 Map

Fax (801) 418-0941

Mailing address

PO Box 27128, Attn: Credentialing
Salt Lake City, UT 84127-0128

Other practice locations

  • 395 W Cougar Blvd, Provo, UT 84604-3311 · (801) 357-4600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10117275-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023569241

Michael Anderson, PA's National Provider Identifier is 1023569241, issued on Oct 24, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Apr 7, 2026.