Individual
MR. MICHAEL JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
110 LUKE AVE, AFMSA/SG3P, BOLLING AFB, DC 20032
(202) 767-4340
(202) 767-5302
Mailing address
110 LUKE AVE, AFMSA/SG3P, BOLLING AFB, DC 20032
(202) 767-4340
(202) 767-5302
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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