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Individual

CRAIG A ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20375 W 151ST ST, SUITE 463, OLATHE, KS 66061-7218
(913) 782-8577
(913) 782-2616
Mailing address
20375 W 151ST ST, SUITE 463, OLATHE, KS 66061-7218
(913) 782-8577
(913) 782-2616

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0423072
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100118910B
KS
Enumeration date
01/12/2007
Last updated
12/02/2014
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