Individual
THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9372
(812) 426-9778
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9372
(812) 426-9778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109462
ANTHEM
—
05
—
100088370
—
IN
Enumeration date
11/28/2006
Last updated
12/22/2010
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