Individual
DR. DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10720 NALL AVE, OVERLAND PARK, KS 66211
(913) 588-6671
(913) 588-6671
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6671
(913) 588-6671
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-20418
KS
208VP0000X
Pain Medicine Physician
0420418
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200370D
—
KS
05
—
100200370E
—
KS
05
—
209214808
—
MO
05
—
209214816
—
MO
01
—
P00106987
RR MEDICARE
KS
01
—
P00115674
RR MEDICARE
KS
Enumeration date
02/27/2006
Last updated
07/28/2014
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