Individual provider · Type 1 NPI
Mark D. Anderson, MD
Diagnostic Radiology Physician · Logan, UT
NPI number
1376540955
Active
Practice location
1400 N 500 E
Logan, UT 84341-2455
Mailing address
PO Box 1108
Bountiful, UT 84011-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 376402-1205 (UT) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1376540955
Mark D. Anderson, MD's National Provider Identifier is 1376540955, issued on Jun 28, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Logan, UT. The record was last updated on Apr 20, 2015.