Individual
DR. TERRY D ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12300 METCALF AVE, ANESTHESIA DEPT, OVERLAND PARK, KS 66213-1324
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0525155
KS
207L00000X
Anesthesiology Physician
114453
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176220G
—
KS
01
—
24943042
BLUE CROSS BLUE SHIELD
KS
05
—
249778606
—
MO
01
—
P00018699
RR MEDICARE NUMBER
KS
Enumeration date
05/05/2006
Last updated
07/09/2007
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