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Individual

MR. JAMES RICHARD ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-1802
Mailing address
P.O. BOX 9000, SOUTHERN COLORADO CLINIC, PUEBLO, CO 82008-9000
(719) 553-1802

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0004455
CO

Other

Enumeration date
03/18/2015
Last updated
12/07/2015
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