Individual
DR. LEE STEWART ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 ST. MICHAELS DRIVE, SANTA FE, NM 87505
(505) 913-3934
(505) 368-6431
Mailing address
1640 OLD PECOS TRAIL SUITE H, SANTA FE, NM 87505
(505) 992-0233
(505) 992-0609
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
227729
MA
207P00000X
Emergency Medicine Physician
Primary
MD2009-0234
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263793
—
AZ
05
—
29370540
—
CO
05
—
58634266
—
NM
Enumeration date
08/07/2006
Last updated
11/03/2016
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