Individual
DR. JEFFREY M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D C
Contact information
Practice address
3333 S WADSWORTH BLVD, BUILDING D SUITE 205, LAKEWOOD, CO 80227-5122
(303) 986-5400
(303) 986-5401
Mailing address
3333 S WADSWORTH BLVD, BUILDING D SUITE 205, LAKEWOOD, CO 80227-5122
(303) 986-5400
(303) 986-5401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
841560976
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350053223
RAIL ROAD MEDICARE ID
CO
Enumeration date
02/26/2007
Last updated
01/17/2014
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