Individual
DR. CHARLES ALLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G062930
CA
207RP1001X
Pulmonary Disease Physician
Primary
G062930
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G62930
CA
Other
Enumeration date
02/28/2006
Last updated
03/31/2021
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