Individual
COLLIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 S 54TH ST, ROGERS, AR 72758-8169
(913) 683-0477
Mailing address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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