Individual
DR. DANIEL WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21157 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8457
(253) 862-2138
(253) 862-2947
Mailing address
PO BOX 1549, BUCKLEY, WA 98321-1549
(253) 862-2138
(253) 862-2947
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002318
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09244
LABOR AND INDUSTRIES
WA
01
—
AN1157
REGENCE
WA
Enumeration date
01/24/2007
Last updated
07/08/2007
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