Individual
JAMES W ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 W CHANDLER BLVD, CHANDLER, AZ 85224-6145
(480) 821-7565
(480) 821-4303
Mailing address
11001 N BLACK CANYON HWY, PHOENIX, AZ 85029-4757
(602) 371-2515
(602) 371-2002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24524
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359556
—
AZ
01
—
AZ0855130
BCBS ID
AZ
Enumeration date
05/27/2005
Last updated
05/10/2010
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