Individual
DR. CRAIG S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23416
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19988206
—
CO
01
—
348308
MEDICARE GROUP PTAN
CO
01
—
C811604
MEDICARE GROUP NUMBER
CO
Enumeration date
10/13/2005
Last updated
11/18/2016
Update your record
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