Individual
MALVIN DEVON ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A29436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180028395
RAILROAD MEDICARE
CO
Enumeration date
01/25/2007
Last updated
08/20/2014
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