Individual
BERNADETTE R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6096 E MAIN ST, SUITE 102, COLUMBUS, OH 43213-4302
(614) 577-0400
(614) 577-0040
Mailing address
6096 E MAIN ST, SUITE 102, COLUMBUS, OH 43213-4302
(614) 577-0400
(614) 577-0040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.081226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2457738
—
OH
Enumeration date
12/09/2005
Last updated
03/04/2013
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