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Individual
DR. DAVID ANDERSON
Active
Individual
DR. DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-20418
KS
208VP0000X
Pain Medicine Physician
0420418
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200370D
—
KS
05
—
100200370E
—
KS
05
—
209214808
—
MO
05
—
209214816
—
MO
01
—
P00106987
RR MEDICARE
KS
01
—
P00115674
RR MEDICARE
KS
Enumeration date
02/27/2006
Last updated
07/28/2014
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