Individual
MR. MICHAEL SCOTT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1952 W. LA PALMA AVE., ANAHEIM, CA 92821
(714) 774-7575
(714) 774-1404
Mailing address
1433 BRYCE CIRCLE, PLACENTIA, CA 92870
(714) 390-0728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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