Individual
DR. ROGER S. ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1923 N TREKELL RD, CASA GRANDE, AZ 85222-1706
(520) 836-3412
Mailing address
704 N STEWART, MESA, AZ 85201-4641
(480) 969-7972
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1427
AZ
Other
Enumeration date
11/07/2006
Last updated
07/27/2010
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