Individual
DOUGLAS S. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10787 NALL AVE, SUITE 310, OVERLAND PARK, KS 66211-1375
(913) 945-6900
(913) 945-6970
Mailing address
10787 NALL AVE, SUITE 310, OVERLAND PARK, KS 66211-1375
(913) 945-6900
(913) 945-6970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0422138
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114280D
—
KS
Enumeration date
07/07/2006
Last updated
02/06/2014
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