Individual
MR. REAGAN B ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8580 SCARBOROUGH DR, SUITE 225, COLORADO SPRINGS, CO 80920-7586
(719) 531-5400
(719) 531-9545
Mailing address
8580 SCARBOROUGH DR, SUITE 225, COLORADO SPRINGS, CO 80920-7586
(719) 531-5400
(719) 531-9545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
48132
CO
207ND0101X
MOHS-Micrographic Surgery Physician
DR.0048132
CO
Other
Enumeration date
08/30/2005
Last updated
09/03/2020
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