Individual provider · Type 1 NPI

Jacob Glen Anderson, MD

Pediatric Rheumatology Physician · Salt Lake City, UT

NPI number 1821733080 Active

Practice location

81 N Mario Capecchi Dr # 4B056
Salt Lake City, UT 84113-1125

Other practice locations

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 · (602) 933-0945

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X390200000X
Pediatric Rheumatology Physician Primary 2080P0216X14210863-1205 (UT)

Pediatric Rheumatology Physician: A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

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About NPI 1821733080

Jacob Glen Anderson, MD's National Provider Identifier is 1821733080, issued on May 2, 2022. The primary taxonomy on file is Pediatric Rheumatology Physician (2080P0216X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 19, 2025.