Individual
DR. BRAD L ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22180 OLYMPIC COLLEGE WAY, SUITE 201, POULSBO, WA 98370-6664
(360) 394-3500
(360) 394-3501
Mailing address
22180 OLYMPIC COLLEGE WAY, SUITE 201, POULSBO, WA 98370-6664
(360) 394-3500
(360) 394-3501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034121
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8247181
—
WA
01
—
P000366802
RAILROAD MEDICARE
WA
Enumeration date
11/24/2006
Last updated
05/23/2011
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