Individual
DR. CHARLES BRADLEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SADDLE DR, HELENA, MT 59601-8098
(406) 431-8043
(406) 442-2445
Mailing address
301 SADDLE DR, HELENA, MT 59601-8098
(406) 431-8043
(406) 442-2445
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
6950
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6950
LICENSE NUMBER
MT
Enumeration date
01/04/2007
Last updated
07/09/2007
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