Individual
JUDY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6000
Mailing address
520 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0426
ND
Other
Enumeration date
07/07/2010
Last updated
09/05/2012
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