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Individual

ANTHONY K ANDERSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
435 ARDEN AVE, # 410, GLENDALE, CA 91203-4020
(818) 242-4191
(818) 242-4811
Mailing address
435 ARDEN AVE, # 410, GLENDALE, CA 91203-4020
(818) 242-4191
(818) 242-4811

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C39027
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C390270
CA
Enumeration date
04/13/2006
Last updated
07/08/2007
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