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Individual

ANGELA R ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1445 NORTH AVE, SPEARFISH, SD 57783
(605) 644-4170
(605) 644-4198
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3897
SD
208000000X
Pediatrics Physician
MD196544
OR

Other

Enumeration date
06/15/2006
Last updated
03/15/2021
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