Individual
SAMUEL R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4895 OLENTANGY RIVER RD, SUITE 100, COLUMBUS, OH 43214-1926
(614) 457-7732
(614) 457-4346
Mailing address
4895 OLENTANGY RIVER RD, SUITE 100, COLUMBUS, OH 43214-1926
(614) 457-7732
(614) 457-4346
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-08-0575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2327486
—
OH
Enumeration date
12/29/2005
Last updated
08/22/2013
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