Individual
JOHN THEODORE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
104 E 3RD ST, TEMPLETON, IA 51463-5027
(712) 669-3894
Mailing address
2221 ELM ST, RAWLINS, WY 82301-5108
(307) 324-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-108960
IA
Other
Enumeration date
01/11/2013
Last updated
08/31/2017
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