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Individual

MR. DOUGLAS ELMO ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
2111 18TH STREET, BAKERSFIELD, CA 93301
(661) 324-2113
(661) 327-4549
Mailing address
2111 18TH STREET, BAKERSFIELD, CA 93301
(661) 324-2113
(661) 327-4549

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 820
CA
237600000X
Audiologist-Hearing Aid Fitter
HA1944
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AU0008200
CA
Enumeration date
12/05/2006
Last updated
09/11/2025
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