Individual
DR. RODNEY J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1300 N PENNSYLVANIA ST, SUITE 200, INDIANAPOLIS, IN 46202-4453
(317) 968-0409
(317) 968-0402
Mailing address
1300 N PENNSYLVANIA ST, SUITE 200, INDIANAPOLIS, IN 46202-4453
(317) 968-0409
(317) 968-0402
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
02000697A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387137
ANTHEM BLUE CROSS AND BLU
IN
05
—
200260200 B
—
IN
01
—
203669845
FEDERAL TAX ID
IN
01
—
7402585
AETNA
IN
Enumeration date
01/06/2006
Last updated
01/12/2011
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