Individual
RICHARD STACEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(907) 452-8181
Mailing address
PO BOX 74067, FAIRBANKS, AK 99707-4067
(866) 952-2255
(866) 452-2256
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
AK2287
AK
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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