Individual
DR. MARSHALL WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 848-4150
(360) 848-4169
Mailing address
1400 E KINCAID ST, C/O CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
MD00037814
WA
2083X0100X
Occupational Medicine Physician
Primary
MD00037814
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009946
—
WA
01
—
263663
LABOR & INDUSTRIES
WA
Enumeration date
09/20/2005
Last updated
10/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us