Individual
DR. JOHN ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, DEPARTMENT OF SURGERY, SACRAMENTO, CA 95817-2201
(916) 734-7210
(916) 734-7755
Mailing address
2315 STOCKTON BLVD, DEPARTMENT OF SURGERY, SACRAMENTO, CA 95817-2201
(916) 734-7210
(916) 734-7755
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
00G662420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G662420
MEDI-CAL
—
Enumeration date
11/25/2005
Last updated
07/08/2007
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