Individual
DR. L. ERIC ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 WESTOWN PKWY, WEST DES MOINES, IA 50266-1438
(515) 276-8572
(515) 334-7274
Mailing address
8232 CHAMBERY BLVD, JOHNSTON, IA 50131-8773
(515) 270-2270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8004
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22249
WELLMARK BCBS
IA
Enumeration date
07/21/2006
Last updated
07/08/2007
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