Individual
JAMES L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6562
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 602-1421
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01508
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157558001
—
AR
01
—
5Y150
BLUE CROSS BLUE SHIELD
AR
01
—
P00185006
RAILROAD MEDICARE
AR
Enumeration date
09/29/2005
Last updated
02/26/2015
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