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Individual

STEVEN WAYNE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 356-4505
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 356-4505

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
00217
IA
103G00000X
Clinical Neuropsychologist
00631
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0740969
IA
01
28233
WELLMARK BCBS
IA
Enumeration date
11/28/2006
Last updated
12/15/2010
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