Individual
MARIA T ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4743 ARAPAHOE AVE STE 201, BOULDER, CO 80303-1128
(303) 442-2395
(303) 442-1073
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 442-2395
(303) 442-1073
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
43571
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
43571
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
65383
MN
390200000X
Student in an Organized Health Care Education/Training Program
65383
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40585051
—
CO
Enumeration date
03/07/2007
Last updated
09/29/2022
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