Individual
KRISTOFER GLYNN ANDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG. 4554, 59 MDW/GME, JBSA LACKLAND, TX 78236-9908
(210) 916-8040
Mailing address
1100 WILFORD HALL LOOP, BLDG. 4554, 59 MDW/GME, JBSA LACKLAND, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0102208298
VA
Other
Enumeration date
03/02/2022
Last updated
01/07/2024
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