Individual
DR. MATTHEW R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21681 N 77TH AVE, SUITE 1405, PEORIA, AZ 85382-2132
(623) 312-2265
(623) 312-2266
Mailing address
21681 N 77TH AVE, SUITE 1405, PEORIA, AZ 85382-2132
(623) 312-2265
(623) 312-2266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36198
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345804
—
AZ
01
—
P00623658
RAILROAD MEDICARE
AZ
Enumeration date
01/25/2006
Last updated
11/06/2014
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