Individual
DR. SCOTT RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 SAN JOSE ST, SALINAS, CA 93901-3901
(831) 648-7200
(831) 648-7204
Mailing address
12 UPPER RAGSDALE DR, MONTEREY, CA 93940-5730
(831) 648-7200
(831) 648-7204
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A131852
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A131852
STATE MEDICAL LICENSE
CA
Enumeration date
04/11/2013
Last updated
07/31/2019
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