Individual
DR. ROBERT LEROY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 N KANSAS AVE, SUITE 205, HASTINGS, NE 68901-4453
(402) 463-4521
Mailing address
715 N KANSAS AVE, SUITE 205, HASTINGS, NE 68901-4453
(402) 463-4521
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15995
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026063700
—
NE
01
—
3040
BCBS
NE
05
—
47067537200
—
NE
01
—
NA1676011
MEDICARE PTAN
NE
Enumeration date
07/14/2005
Last updated
03/07/2023
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