Individual
ELIZABETH A ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 UNIVERSITY DR, BISMARCK, ND 58504-9634
(701) 355-8188
Mailing address
7500 UNIVERSITY DR, BISMARCK, ND 58504-9634
(701) 355-8188
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
682-15
ND
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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