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Organization
STEVEN RAY ANDERSON MD PLC
Active
Organization
STEVEN RAY ANDERSON MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RAY ANDERSON MD (OWNER PRESIDENT)
(928) 726-9385
Entity
Organization
Contact information
Practice address
2140 W 24TH ST STE B, YUMA, AZ 85364
(928) 726-9385
Mailing address
2140 W 24TH ST STE B, YUMA, AZ 85364
(928) 726-9385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0443110
BLUE CROSS BLUE SHEILD
AZ
01
—
DF4671
RAILROAD MEDICARE
AZ
Enumeration date
09/14/2006
Last updated
11/15/2007
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