Individual
MRS. GAIL ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT (R)
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 544-6464
(217) 528-7541
Mailing address
1010 JEFFERSON ST, PAWNEE, IL 62558-9149
(217) 836-3231
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
233818
IL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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