Individual
SCOTT GORDON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 S FEDERAL BLVD, RIVERTON, WY 82501-4711
(307) 856-8090
(307) 463-4254
Mailing address
PO BOX 190, ST STEPHENS, WY 82524-0190
(307) 856-8090
(307) 463-4254
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
177
WY
Other
Enumeration date
12/17/2024
Last updated
01/02/2025
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