Individual
DR. SHANE ROBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, FRACS
Contact information
Practice address
1106 BEECHWOOD ST, HILLCREST,, LITTLE ROCK, AR 72205
(501) 416-3301
Mailing address
1106 BEECHWOOD ST, HILLCREST,, LITTLE ROCK, AR 72205
(501) 416-3301
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
E-8143
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-8143
ARKANSAS STATE LICENSE NUMBER
AR
Enumeration date
08/12/2013
Last updated
08/12/2013
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