Individual
DR. THOMAS MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, DEPT. OF RADIOLOGY MSC 10 5530, ALBUQUERQUE, NM 87131
(505) 272-0010
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD2020-0271
NM
2085R0202X
Diagnostic Radiology Physician
MD2020-0271
NM
Other
Enumeration date
04/21/2014
Last updated
12/09/2024
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