Individual
STEVEN RAY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 S 8TH AVE STE 200, YUMA, AZ 85364-7158
(928) 336-7095
(928) 336-7256
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
(928) 336-7256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12589
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508961343
GROUP NPI
AZ
Enumeration date
10/10/2005
Last updated
11/15/2024
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