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Individual
SCOTT DAVID ANDERSON
Active
Individual
SCOTT DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4305
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05060015600
QUALCHOICE
AR
05
—
156646003
—
AR
01
—
1991288
UNITED HEALTHCARE
AR
01
—
3534376
CIGNA
AR
01
—
439393
HEALTHLINK
AR
01
—
5N206
HEALTH ADVANATAGE
AR
01
—
7894121
AETNA
AR
01
—
P00053
NOVASYS
AR
01
—
P00288111
RAILROAD MEDICARE
AR
Enumeration date
03/29/2006
Last updated
04/22/2022
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