Individual
ERIK ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CG CREDENTIALING OFFICE, CG-1122, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
(206) 217-6442
Mailing address
CG CREDENTIALING OFFICE, CG-1122, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593-0001
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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