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Individual

DR. RICHARD ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 KINGSLEY LN, 305, NORFOLK, VA 23505-4614
(757) 889-5422
(757) 889-5450
Mailing address
PO BOX 844555, BOSTON, MA 02284-4555
(540) 891-8730
(540) 891-5742

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101234567
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010235774
VA
Enumeration date
03/17/2006
Last updated
04/20/2016
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