Individual
MIRANDA ROSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(623) 363-4496
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009755
AZ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
009755
AZ
208M00000X
Hospitalist Physician
009755
AZ
Other
Enumeration date
04/12/2020
Last updated
11/11/2025
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