Individual
DR. ELISE STURM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3100 MACCORKLE AVE SE STE 101, CHARLESTON, WV 25304-1215
(304) 388-8200
Mailing address
4705 KANAWHA AVE SE, CHARLESTON, WV 25304-1938
(304) 710-5768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3859
WV
207RC0000X
Cardiovascular Disease Physician
3859
WV
207RI0011X
Interventional Cardiology Physician
Primary
3859
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
07/02/2025
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