Individual
DR. MANDY MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 717-6667
Mailing address
PO BOX 600763, SAN DIEGO, CA 92160-0763
(619) 717-6667
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A113914
CA
207V00000X
Obstetrics & Gynecology Physician
BP10025285
TX
207V00000X
Obstetrics & Gynecology Physician
N7925
TX
Other
Enumeration date
05/18/2007
Last updated
05/10/2024
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