Individual
ERIC DOLVEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21528
DC
207RP1001X
Pulmonary Disease Physician
Primary
21528
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029753200
—
DC
01
—
290012860
MEDICARE RAILROAD
—
05
—
331203801
—
MD
05
—
5839831
—
VA
Enumeration date
07/13/2005
Last updated
01/29/2008
Update your record
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