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Individual

DR. NATHAN S ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 BODIN CIR, 60MDG/SGCS HEART, LUNG AND VASCULAR INSTITUTE, TRAVIS AFB, CA 94535-1809
(707) 423-5136
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101245111
VA
207RC0000X
Cardiovascular Disease Physician
0101245111
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MED-PHYS-LIC-81009
MT

Other

Enumeration date
06/27/2007
Last updated
04/15/2020
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