Individual
SCOTT ANDERSON
Active
Individual
SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G57847
CA
207R00000X
Internal Medicine Physician
Primary
R9D52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000010007
ESSENCE
MO
01
—
0400431
UHC
MO
01
—
100161
HEALTHLINK
MO
01
—
127461
GHP
MO
01
—
28771
BCBS
MO
01
—
4000029
AETNA
MO
01
—
A13912
MERCY
MO
Enumeration date
11/03/2005
Last updated
02/08/2019
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