# DR. DAVID ANDERSON

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

## Provider details

- **NPI number:** 1861468118
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 04-20418 | KS | Yes |
| 208VP0000X | Pain Medicine Physician | 0420418 | KS | — |

## Other

- **Enumeration date:** 02/27/2006
- **Last updated:** 07/28/2014

## 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 |