Individual
CRIS J. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-1398
(308) 362-7830
Mailing address
PO BOX 1886, SCOTTSBLUFF, NE 69361-1886
(308) 630-1917
(308) 632-7830
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21548
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35782
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21548
STATE LICENSE
NE
01
—
34079
BCBS (CLASSIC & PREFERRED
NE
01
—
35782
STATE LICENSE
MO
Enumeration date
07/26/2006
Last updated
03/07/2023
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