Individual
ANDY LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-37136
KS
2085R0202X
Diagnostic Radiology Physician
2012-00234
NC
2085R0202X
Diagnostic Radiology Physician
2014015593
MO
2085R0202X
Diagnostic Radiology Physician
4087-320
WI
Other
Enumeration date
04/10/2008
Last updated
09/12/2025
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