Organization
ERIC W. ANDERSON M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W ANDERSON M.D. (PRESIDENT)
(505) 982-3534
Entity
Organization
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
07/20/2010
Last updated
07/20/2010
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