Individual
DR. ROGER ALLAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1405 4TH ST SW, WEST SIDE PROFESSIONAL CENTER STE 2, SIDNEY, MT 59270-3515
(406) 488-2705
(406) 488-2713
Mailing address
1405 4TH ST SW, STE 2, SIDNEY, MT 59270-3515
(406) 488-2705
(406) 488-2713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
414
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480857
—
MT
01
—
27110
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/27/2006
Last updated
07/08/2007
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