Individual
DR. PETER IAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4444
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
100432
AK
207P00000X
Emergency Medicine Physician
46504-020
WI
207P00000X
Emergency Medicine Physician
ME98908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281101400
—
FL
01
—
31422
BCBS
FL
Enumeration date
01/20/2006
Last updated
10/07/2020
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