Individual
ERIC ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2144
Mailing address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-43746
KS
207Q00000X
Family Medicine Physician
94-09622
KS
Other
Enumeration date
06/15/2018
Last updated
06/28/2021
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