Individual
DR. WILLARD ABE ANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-7878
(360) 414-7876
Mailing address
403 S AMERICA ST, COVINGTON, LA 70433-3531
(919) 610-9606
(958) 276-4402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61081628
WA
207RH0000X
Hematology (Internal Medicine) Physician
MD61081628
VA
207RH0003X
Hematology & Oncology Physician
35830
NC
207RX0202X
Medical Oncology Physician
Primary
MD61081628
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18582
MEDICAL LICENSE
NC
Enumeration date
01/30/2007
Last updated
07/21/2020
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