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Individual

DR. DAVID ERIC ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 426-2653
Mailing address
621 E HAGUE RD, EL PASO, TX 79902-2706
(240) 620-3627

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101261586
VA
207R00000X
Internal Medicine Physician
Primary
MD044384
DC
207R00000X
Internal Medicine Physician
MD60367274
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101261586
STATE MEDICAL LICENSE
VA
01
079257
STATE MEDICAL LICENSE
GA
01
26535
STATE MEDICAL LICENSE
NE
01
4301113582
STATE MEDICAL LICENSE
MI
01
51670
STATE MEDICAL LICENSE
KY
01
51700
STATE MEDICAL LICENSE
SC
01
MD60367274
STATE MEDICAL LICENSE
WA
Enumeration date
04/05/2010
Last updated
11/16/2020
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