Basic Information
Provider Information
NPI: 1265606735
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANDREWS
FirstName: CURTIS
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3556 W 9800 S
Address2: SUITE 101
City: SOUTH JORDAN
State: UT
PostalCode: 840953211
CountryCode: US
TelephoneNumber: 8015679780
FaxNumber: 8015679826
Practice Location
Address1: 3556 W 9800 S
Address2: SUITE 101
City: SOUTH JORDAN
State: UT
PostalCode: 840953211
CountryCode: US
TelephoneNumber: 8015679780
FaxNumber: 8015679826
Other Information
ProviderEnumerationDate: 04/16/2008
LastUpdateDate: 12/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208000000X0102203101VAN Allopathic & Osteopathic PhysiciansPediatrics 
207R00000X8644418-1204UTY Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000X8644418-1204UTN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home