Individual
DEBRA MAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2710 E HARNEY ST SUITE 100, LARAMIE PHYSICIANS FOR CHILDREN, LARAMIE, WY 82072-2884
(307) 721-3118
(307) 721-4880
Mailing address
2710 E HARNEY ST SUITE 100, LARAMIE PHYSICIANS FOR CHILDREN, LARAMIE, WY 82072-2884
(307) 721-3118
(307) 721-4880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5481A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110108100
—
WY
Enumeration date
06/16/2006
Last updated
08/26/2010
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