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Individual
JAMES ANDERSON
Active
Individual
JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
2000027634
SC
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
BOC335022
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/09/2016
Last updated
12/31/2020
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