Individual
MALCOLM FRANCIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1243 E SPRUCE AVE, SUITE 101, FRESNO, CA 93720-3379
(559) 439-7226
(559) 256-2983
Mailing address
PO BOX 26570, FRESNO, CA 93729-6570
(559) 455-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A29875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A298750
BLUE SHIELD
CA
05
—
00A298750
—
CA
Enumeration date
03/24/2006
Last updated
02/06/2008
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