Individual
JAMES ALLEN ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 S WASHINGTON ST, SUITE 102, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931
Mailing address
419 S WASHINGTON ST, SUITE 102, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931
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
09/11/2025
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