Individual
ANDREW DEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MERCY CIRCLE DRIVE, CAMP PENDLETON, CA 92055
(909) 855-0012
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(909) 855-0012
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101275806
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2021
Last updated
08/29/2022
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