# SCOTT DAVID ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366403479
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E4305 | AR | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 04/22/2022

## 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 |