Individual
DEREK NATHAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
454 OLD STREET RD STE 207, PETERBOROUGH, NH 03458-1253
(603) 924-4664
(603) 924-8653
Mailing address
454 OLD STREET RD STE 207, PETERBOROUGH, NH 03458-1200
(603) 924-4664
(603) 924-8653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20947
NH
207Q00000X
Family Medicine Physician
36375
IA
207Q00000X
Family Medicine Physician
MD169675
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500682438
—
OR
Enumeration date
12/08/2006
Last updated
12/01/2020
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