Individual
ANDREA WILSON MEAD
Active
Individual
ANDREA WILSON MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
37043
CO
208000000X
Pediatrics Physician
Primary
DR.0037043
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01370436
—
CO
05
—
0731497
—
IA
01
—
WI99334
ANTHEM BCBS
CO
Enumeration date
11/22/2005
Last updated
05/05/2020
Update your record
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