Type 1 individualNPI 1144208661
DR. SHANE BLAKE ANDERSON D.O.
2085R0202X · MURRAY, UT
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 2085R0202X | 2085R0202X | Primary |
| 207U00000X | 207U00000X | Additional |
| 207UN0902X | 207UN0902X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s