Individual
DR. CHARLES ALBIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 CAMPBELL WAY, STE 201, BREMERTON, WA 98310-2623
(360) 377-1355
(360) 377-1558
Mailing address
1225 CAMPBELL WAY, SUITE 201, BREMERTON, WA 98310-2623
(360) 377-1355
(360) 377-1558
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
67273
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD.200301
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00046401
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121160A
—
GA
05
—
003121160B
—
GA
05
—
1015838
—
WA
Enumeration date
04/26/2006
Last updated
11/12/2020
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