Organization
ACADEMIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ANDERSON D.O. (PRESIDENT)
(660) 626-2235
Entity
Organization
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2235
(660) 626-2090
Mailing address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2235
(660) 626-2090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
MO
Other
Enumeration date
07/29/2005
Last updated
07/21/2022
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