Individual
DR. MARK S. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2266
(415) 353-2392
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G87117
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G87117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G8711700
—
CA
Enumeration date
04/14/2006
Last updated
09/04/2008
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