Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Glen Anderson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821733080

Jacob Glen Anderson, MD is a Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Salt Lake City, UT

Additional practice locations (1)

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

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X · Licence 14210863-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X

Record details

NPI number1821733080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

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