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Individual

DR. CHARLES T ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
521 ADAMS AVE, MORTON, WA 98356
(360) 496-5145
(360) 496-6449
Mailing address
PO BOX 1138, MORTON, WA 98356-0019
(360) 496-5112

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00041818
WA
208600000X
Surgery Physician
Primary
MD00041818
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8324857
WA
Enumeration date
08/22/2006
Last updated
10/23/2024
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