Individual
DR. RONALD WARREN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
407 S 19TH ST, BLAIR, NE 68008-1907
(402) 426-2210
(402) 426-2235
Mailing address
231 N 97TH CT, OMAHA, NE 68114-2398
(402) 691-0416
(402) 691-0416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16664
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025285200
—
NE
01
—
30200
BCBS
NE
Enumeration date
12/13/2006
Last updated
07/08/2007
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