Individual
DR. CRAIG S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2490 W 26TH AVE BLDG A, SUITE 300, DENVER, CO 80211-5314
(303) 831-9393
(303) 468-9280
Mailing address
2490 W 26TH AVE BLDG A, SUITE 300, DENVER, CO 80211-5314
(303) 831-9393
(303) 468-9280
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
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