Individual
BRIAN LEROY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6251
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A70747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A707470
—
CA
Enumeration date
06/14/2006
Last updated
08/28/2007
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