Individual
DR. MATTHEW H ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4630 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5416
(028) 996-4446
Mailing address
4630 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5416
(028) 996-4446
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
59223
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03604299
—
NY
05
—
589049
—
AZ
Enumeration date
04/02/2009
Last updated
04/02/2024
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