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Individual

JAMES ALLEN ANDERSON

Active
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Individual

JAMES ALLEN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3032A
WY
2086S0129X
Vascular Surgery Physician
Primary
3032A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0069887
MT
05
0575134
IA
01
301490
BLUE CROSS BLUE SHIELD
WY
05
78282241
CO
05
8359374
WA
Enumeration date
09/22/2005
Last updated
07/13/2026
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