Individual
DEREK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 E HILLCOURT, WILLISTON, ND 58801-4454
(701) 770-8141
Mailing address
1227 E HILLCOURT, WILLISTON, ND 58801-4454
(701) 770-8141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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