# RONALD DAVID ANDERSON

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

## Provider details

- **NPI number:** 1780905588
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 207R00000X | Internal Medicine Physician | FA3089225 | IN | — |
| 207RG0100X | Gastroenterology Physician | 02003971A | IN | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 05/24/2024