Individual
DR. PAUL DEAN ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 1ST AVE E, SUITE A, SPENCER, IA 51301-4342
(712) 262-1808
(712) 262-5532
Mailing address
1200 1ST AVE E, SUITE A, SPENCER, IA 51301-4342
(712) 262-1808
(712) 262-5532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01929
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015115
—
IA
Enumeration date
10/05/2005
Last updated
07/09/2007
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