Individual
DR. JOHN J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2301 INDIAN WELLS RD, SUITE A, ALAMOGORDO, NM 88310-4607
(575) 434-0639
(575) 434-4148
Mailing address
2301 INDIAN WELLS RD, SUITE A, ALAMOGORDO, NM 88310-4607
(575) 434-0639
(575) 434-4148
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
284
NM
213EP1101X
Primary Podiatric Medicine Podiatrist
284
NM
213ER0200X
Radiology Podiatrist
284
NM
213ES0000X
Sports Medicine Podiatrist
284
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
284
NM
213ES0131X
Foot Surgery Podiatrist
284
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000L1222
—
NM
01
—
201038108
PRESBYTERIAN HEALTH PLAN
NM
01
—
NM005A02
BLUE CROSS BLUE SHIELD ID
NM
Enumeration date
02/06/2006
Last updated
03/26/2025
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