Individual
DAVID MICHAEL ANDERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9702 STONESTREET RD STE 120, LOUISVILLE, KY 40272-6812
(866) 934-7450
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(502) 233-4919
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
46107
KY
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
46107
KY
208D00000X
General Practice Physician
46107
KY
208VP0000X
Pain Medicine Physician
46107
KY
208VP0014X
Interventional Pain Medicine Physician
01072910A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100246110
—
KY
Enumeration date
06/09/2008
Last updated
04/12/2024
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