Organization
JOHN NELS ANDERSON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN NELS ANDERSON M.D. (OWNER)
(907) 262-4161
Entity
Organization
Contact information
Practice address
265 N BINKLEY ST, SOLDOTNA, AK 99669-7523
(907) 262-4161
(907) 262-1545
Mailing address
265 N BINKLEY ST, SOLDOTNA, AK 99669-7523
(907) 262-4161
(907) 262-1545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA1677
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021190
—
AK
Enumeration date
05/19/2014
Last updated
05/19/2014
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