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Organization

CARDIOLOGY ASSOCIATES OF WYTHEVILLE

Active
Other names
Donald R. Anderson, MD, FACC, FCCP, Col
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD R ANDERSON MD, FACC, FCCP (CEO/OWNER/COL (R))
(276) 228-5506
Entity
Organization

Contact information

Practice address
360 VIRGINIA AVE, WYTHEVILLE, VA 24382-1185
(276) 228-5506
(276) 228-9600
Mailing address
175 W MONROE ST, BOX 266, WYTHEVILLE, VA 24382-2341
(276) 228-5506
(276) 228-9600

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101246201
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154554616
VA
Enumeration date
09/01/2009
Last updated
01/10/2011
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