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Individual

MR. SCOTT C ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, ATC

Contact information

Practice address
1928 SAINT MARYS RD, MORAGA, CA 94556-2715
(925) 631-4398
Mailing address
1928 SAINT MARYS RD, MORAGA, CA 94556-2715
(925) 631-4398

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/26/2006
Last updated
07/08/2007
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