Organization
STEVEN RAY ANDERSON MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RAY ANDERSON MD (OWNER PRESIDENT)
(928) 726-9385
Entity
Organization
Contact information
Practice address
2140 W 24TH ST STE B, YUMA, AZ 85364
(928) 726-9385
Mailing address
2140 W 24TH ST STE B, YUMA, AZ 85364
(928) 726-9385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0443110
BLUE CROSS BLUE SHEILD
AZ
01
—
DF4671
RAILROAD MEDICARE
AZ
Enumeration date
09/14/2006
Last updated
11/15/2007
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