# STEVEN RAY ANDERSON MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508961343
- **Authorized official:** STEVEN RAY ANDERSON MD (OWNER PRESIDENT)
- **Authorized official phone:** (928) 726-9385

## Contact information

- **Practice address:** 2140 W 24TH ST STE B, YUMA, AZ 85364
- **Practice address phone:** (928) 726-9385
- **Mailing address:** 2140 W 24TH ST STE B, YUMA, AZ 85364
- **Mailing address phone:** (928) 726-9385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AZ0443110 | BLUE CROSS BLUE SHEILD | AZ |
| 01 | — | DF4671 | RAILROAD MEDICARE | AZ |