person
Dr. Jacob Douglas Anderson, DNP
Urgent Care Clinic/Center in Logan, Utah
NPI 1316329220

Jacob Douglas Anderson is a Urgent Care Clinic/Center based in Idaho Falls, UT and is specialized in Urgent Care. Jacob Douglas Anderson practices in Logan, UT and has the professional credentials of DNP. The NPI Number for Jacob Douglas Anderson is 1316329220 and holds a License No. (Utah).

The current practice location address for Jacob Douglas Anderson is 630 E 1400 N Ste 150, Logan, UT and can be reached out via phone at 435-915-4465 and via fax at 435-787-8509. You can also correspond with Jacob Douglas Anderson through the mailing address at 740 S WOODRUFF AVE, IDAHO FALLS, ID - 83401-5285 (mailing address contact number: 208-542-9111).

Location: 630 E 1400 N Ste 150, Logan, UT, 83401-5285
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Provider Profile Details
NPI Number
1316329220
Provider Name
Jacob Douglas Anderson
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
630 E 1400 N Ste 150, Logan, UT, 83401-5285
Phone Number
435-915-4465
Fax Number
435-787-8509
Provider Enumeration Date
06/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205300407 01 ID NPI
833011825 01 ID STATE
institution
Provider Business Practice Location Address Details
Address
630 E 1400 N Ste 150
City
State
Zip
84341-2549
Phone Number
435-915-4465
Fax Number
435-787-8509
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Provider Business Mailing Address Details
Address
740 S Woodruff Ave
City
State
Zip
83401-5285
Phone Number
208-542-9111
Fax Number
208-542-9114
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
License No.
7942683-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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