Organization
PAUL ANDERSON
Active
Other names
Spencer Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LINDA I NORGAAARD (CLINIC MANAGER)
(712) 262-1808
Entity
Organization
Contact information
Practice address
1200 1ST AVE E, SUITE A, SPENCER, IA 51301-4342
(712) 262-1808
(712) 262-5532
Mailing address
1200 1ST AVE E, SUITE A, SPENCER, IA 51301-4342
(712) 262-1808
(712) 262-5532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298810
—
IA
Enumeration date
05/11/2006
Last updated
11/05/2007
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