Individual
RICHARD JOHN ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 7TH ST, MOLINE, IL 61265-2917
(309) 762-8555
(309) 736-0733
Mailing address
1520 7TH ST, MOLINE, IL 61265-2917
(309) 762-8555
(309) 736-0733
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2979146
—
IA
Enumeration date
08/16/2005
Last updated
09/11/2025
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