Individual
WILLIE A. ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-0000
Mailing address
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 980-6140
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
0101027265
VA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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