Individual
CHARLES MELVIN ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 CLEMENT ST, SF-VAMC (114), SAN FRANCISCO, CA 94121-1545
(415) 750-6911
(415) 379-5596
Mailing address
255 DUNCAN ST, SAN FRANCISCO, CA 94131-2019
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G52173
CA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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