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Individual

DR. SHANE ROBERT ANDERSON

Active
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Individual

DR. SHANE ROBERT ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS, FRACS

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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