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Individual

DR. BRENT R ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 CALVERT ST NW STE 101, WASHINGTON, DC 20008-2604
(202) 462-8500
Mailing address
2501 CALVERT ST NW STE 101, WASHINGTON, DC 20008-2604
(202) 462-8500
(202) 462-8500

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
D51912
MD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD22000
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
456121000
MD
Enumeration date
07/31/2006
Last updated
02/14/2024
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