Individual
DR. SCOTT R ANDERSEN
Active
Individual
DR. SCOTT R ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42617
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062769
—
OH
01
—
026810
KAISER COMMERCIAL NUMBER
CO
05
—
10025709000
—
NE
05
—
121183800
—
WY
05
—
1851376347
—
SD
05
—
1851376347
—
UT
05
—
200376720A
—
KS
05
—
20922850
—
CO
05
—
28102517
—
NM
05
—
84-059792913
—
NE
05
—
929010
—
AZ
01
—
P00312918
RR RIA MEDICARE
CO
01
—
P00385462
RR MIC MEDICARE
CO
01
—
P00720342
RR MCR NE
NE
Enumeration date
12/07/2005
Last updated
06/10/2021
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