Individual
DR. ANGELA K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036094384
IL
207V00000X
Obstetrics & Gynecology Physician
61886
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
9035
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5236530001
MEDICARE DME ID
IL
01
—
P00009296
MEDICARE RR
IL
Enumeration date
10/03/2005
Last updated
04/19/2016
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