Individual
DR. MIKE L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4604
(719) 526-7979
Mailing address
1650 COCHRANE CIR, FT CARSON, CO 80913-4604
(719) 526-7979
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0054806
CO
2085R0202X
Diagnostic Radiology Physician
MD - 12628
HI
2085R0202X
Diagnostic Radiology Physician
MD 60071848
WA
Other
Enumeration date
11/09/2005
Last updated
02/19/2025
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