Individual
DR. IAN SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0053551
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134525300
—
WY
05
—
61100854
—
CO
01
—
P01377707
RR MEDICARE
CO
Enumeration date
07/11/2007
Last updated
01/20/2015
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