Individual
JUSTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 JACKSON ST, BURKE, SD 57523-2065
(605) 775-2621
(605) 775-2564
Mailing address
809 JACKSON ST, BURKE, SD 57523-2065
(605) 775-2621
(605) 775-2564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3119
SD
Other
Enumeration date
07/14/2022
Last updated
12/23/2025
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