Individual
DR. ROGER CARL ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13619 MUKILTEO SPEEDWAY, STE D-543, LYNNWOOD, WA 98087-1626
(425) 246-9824
(250) 722-7160
Mailing address
13619 MUKILTEO SPEEDWAY, STE D-543, LYNNWOOD, WA 98087-1626
(425) 246-9824
(250) 722-7160
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00020615
WA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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