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Individual

DR. COREY D ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 SUTTER PL, DAVIS, CA 95616-6201
(530) 757-5117
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101260667
VA
207L00000X
Anesthesiology Physician
01076345A
IN
207L00000X
Anesthesiology Physician
2024049040
MO
207L00000X
Anesthesiology Physician
3049-320
WI
207L00000X
Anesthesiology Physician
35.098567
OH
207L00000X
Anesthesiology Physician
Primary
C192246
CA
207L00000X
Anesthesiology Physician
MD217005
OR
207L00000X
Anesthesiology Physician
ME109122
FL
207L00000X
Anesthesiology Physician
R8025
IA
207L00000X
Anesthesiology Physician
U4391
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0066908
OH
01
35.098567
OH STATE LICENSE
OH
01
ME109122
FL STATE LICENSE
FL
Enumeration date
07/05/2007
Last updated
05/08/2026
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