Individual
BRENT CAMERON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 WILLOW CREEK RD STE 1300, PRESCOTT, AZ 86301-1614
(928) 708-4545
(928) 458-2108
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
009963
AZ
207X00000X
Orthopaedic Surgery Physician
5101017463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153204
—
AZ
Enumeration date
07/24/2007
Last updated
06/16/2025
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