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Individual

RONALD LEE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE, SUITE 102, WASHINGTON, DC 20020-7024
(202) 889-5700
(202) 610-1861
Mailing address
106 IRVING ST NW, POB SUITE 214 SOUTH TOWER, WASHINGTON, DC 20010-2927
(202) 877-6944
(202) 877-6955

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD25663
DC
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD25663
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021821600
DC
Enumeration date
12/04/2006
Last updated
12/09/2022
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