Individual
WILLIAM DEATON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MERCADO ST STE 130, DURANGO, CO 81301
(970) 247-1120
(970) 247-1128
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
514474
CO
207RC0000X
Cardiovascular Disease Physician
Primary
51474
CO
207RI0011X
Interventional Cardiology Physician
51474
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41882776
—
CO
Enumeration date
02/01/2006
Last updated
07/29/2024
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