Elizabeth Qiufeng Anderson, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI 1053106641 · NPPES record last updated Apr 14, 2025

Key facts

NPI
1053106641
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone
(801) 662-5700
Fax
(801) 662-5755
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

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

Mailing address

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone (801) 662-5700

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.