Individual
DR. JOHN FREDERICK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-8800
(337) 769-8660
(337) 769-8661
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-8800
(337) 769-8660
(337) 769-8661
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD.206112
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1081639
—
LA
01
—
MD.206112
MEDICAL LICENSE
MS
Enumeration date
06/16/2008
Last updated
03/09/2016
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