| Dr Katherine Alisa Anderson, MD | |
| 50 N Medical Dr, Slc, UT 84132-0001 | |
| (801) 581-2121 | |
| Not Available | 
| Full Name | Dr Katherine Alisa Anderson | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 50 N Medical Dr, Slc, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326221540 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 6348746-1205 (Utah) | Primary | 
| Entity Name | University Of Utah Adult Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Katherine Alisa Anderson, MD 4250 Jeannine Dr, Murray, UT 84107-2818 Ph: (801) 290-2236 | Dr Katherine Alisa Anderson, MD 50 N Medical Dr, Slc, UT 84132-0001 Ph: (801) 581-2121 | 
| Dr. Crystal Brennen Wallentine, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1937 E Saint Marys Dr, Slc, UT 84108 Phone: 801-865-0549 | |
| Dr. Stephanie A Carney, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Foothill Blvd, Mailcode 110, Slc, UT 84148 Phone: 801-582-1565 | |
| Rebecca Baum, MD, PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 389 S 900 E, Slc, UT 84102 Phone: 385-282-2750 | |
| Yong Hui Ahn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 S 1100 E Ste 310, Slc, UT 84102 Phone: 801-328-1260 Fax: 801-350-4361 | |
| Richard Sun Kyu Kwan Rose, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Foothill Dr, Slc, UT 84148 Phone: 801-582-1565 Fax: 801-584-2576 | |
| Jessica Ann Walsh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-7899 |