Individual
GARY S. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2695
(202) 537-4080
(202) 537-4588
Mailing address
PO BOX 65266, CHARLOTTE, NC 28265-0266
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA216
DC
Other
Enumeration date
12/20/2005
Last updated
07/18/2007
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