Individual
MICHAEL J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10001 S EASTERN AVE STE 108, HENDERSON, NV 89052-3908
(702) 952-3444
(702) 952-3494
Mailing address
400 N STEPHANIE ST STE 300, HENDERSON, NV 89014-6692
(702) 952-3350
(702) 952-3365
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10398
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018819
—
NV
05
—
XPY201559
—
CA
Enumeration date
03/15/2006
Last updated
02/23/2024
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