Individual
DR. TODD DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DSC EMPA
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3368
Mailing address
1585 3RD ST, (337)-531-3368, FORT POLK, LA 71459-5102
(726) 780-2427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NCCPA# 1063283
NE
363AM0700X
Medical Physician Assistant
MED-PAC-LIC-70835
MT
Other
Enumeration date
01/11/2007
Last updated
11/14/2025
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