Individual
DR. STEPHANIE S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, CJW MEDICAL CENTER, RICHMOND, VA 23225-4017
(804) 228-6532
Mailing address
7101 JAHNKE RD, CJW MEDICAL CENTER, RICHMOND, VA 23225-4017
(804) 228-6532
(804) 308-8031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101241558
VA
207P00000X
Emergency Medicine Physician
35089032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073730149
—
VA
Enumeration date
04/19/2007
Last updated
08/28/2009
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