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Individual
SEAN F ANDERSON
Active
Individual
SEAN F ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A94875
CA
207L00000X
Anesthesiology Physician
Primary
A94875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A94875
MEDICAL LICENSE
CA
Enumeration date
04/26/2006
Last updated
09/03/2019
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