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Individual

STEVEN R. ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1917 W PARK DR, ORTHOPAEDIC SPECIALISTS OF WILKES, NORTH WILKESBORO, NC 28659-3585
(336) 903-7845
(336) 903-7841
Mailing address
1917 W PARK DR, ORTHOPAEDIC SPECIALISTS OF WILKES, NORTH WILKESBORO, NC 28659-3585
(336) 903-7845
(336) 903-7841

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200700211
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2065544
MEDICARE PTAN, INDIVIDUAL
NC
01
206554A
MEDICARE PTAN, INDIVIDUAL
NC
01
2335816
MEDICARE PTAN, GROUP
NC
05
5906404
NC
Enumeration date
03/27/2007
Last updated
11/03/2009
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