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Individual

CORDEL A ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2825 STOCKYARD RD, BLDG I-200, MISSOULA, MT 59808-1503
(406) 728-8420
(406) 541-8430
Mailing address
PO BOX 17527, MISSOULA, MT 59808-7527
(406) 728-8420
(406) 541-8430

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60323-20
WI
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-43241
MT
207LP2900X
Pain Medicine (Anesthesiology) Physician
60323-20
WI

Other

Enumeration date
07/20/2011
Last updated
11/03/2015
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