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Individual

BROCK ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
419 S WASHINGTON ST STE 102, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931
Mailing address
419 S WASHINGTON ST STE 102, CASPER, WY 82601-2951
(307) 577-4220
(307) 235-0931

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8753A
WY
208600000X
Surgery Physician
A93051
CA
2086S0102X
Surgical Critical Care Physician
8753A
WY
2086S0127X
Trauma Surgery Physician
8753A
WY
2086S0127X
Trauma Surgery Physician
A93051
CA
2086S0129X
Vascular Surgery Physician
8753A
WY

Other

Enumeration date
01/11/2006
Last updated
07/20/2011
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