Individual
DAVID A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3381
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2005004124
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198985
BLUE CROSS/BLUE SHIELD
—
05
—
207318502
—
MO
Enumeration date
06/09/2006
Last updated
01/25/2019
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