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Individual

DR. ERIC WILLIAM ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1630 HOSPITAL DR, SUITE D, SANTA FE, NM 87505-4772
(505) 982-3534
(505) 982-8458
Mailing address
1630 HOSPITAL DR, SUITE D, SANTA FE, NM 87505-4772
(505) 982-3534
(505) 982-8458

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2001-131
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09755276
NM
Enumeration date
11/08/2006
Last updated
06/01/2011
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