Individual
DR. SCOTT R ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
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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