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Individual
MR. STEVEN ERIC ANDERSON
Active
Individual
MR. STEVEN ERIC ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100443
NC
363A00000X
Physician Assistant
PA3125
FL
363AM0700X
Medical Physician Assistant
100443
NC
363AM0700X
Medical Physician Assistant
PA3125
FL
363AS0400X
Surgical Physician Assistant
PA3125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC9073A
MEDICARE PTAN, INDIVIDUAL AT WILKES
NC
Enumeration date
07/14/2005
Last updated
11/27/2012
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