Individual
DR. BARBARA G. ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
58295 29 PALMS HWY, YUCCA VALLEY, CA 92284-5803
(760) 365-6300
(760) 396-1200
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G52853
CA
2085R0001X
Radiation Oncology Physician
Primary
G52853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3753022
CIGNA
CA
01
—
4138200
AETNA
CA
05
—
GR0063580
—
CA
01
—
P00759920
RAILROAD MEDICARE
CA
Enumeration date
07/26/2006
Last updated
12/01/2009
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