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Organization

WILLIAM R ANDERSON JR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM R ANDERSON JR. MD (PRESIDENT OWNER)
(804) 222-1694
Entity
Organization

Contact information

Practice address
4101 NINE MILE ROAD, MASONIC HOME OF VIRGINA, RICHMOND, VA 23223
(804) 222-1694
(804) 222-9012
Mailing address
PO BOX 247, MIDLOTHIAN, VA 23113
(800) 437-8501
(804) 378-3264

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
386226
ANTHEM
VA
Enumeration date
09/16/2006
Last updated
08/29/2007
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