Individual
BRAD DOUGLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 HEALTH PARK DR, SUITE 260, LOUISVILLE, CO 80027-9757
(303) 673-9090
(303) 673-9195
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37641
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50305255
—
CO
Enumeration date
08/10/2005
Last updated
04/21/2021
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