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Individual

DR. DAVID BOONE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12462 PUTNAM ST, SUITE 500, WHITTIER, CA 90602-1048
(562) 789-5449
(562) 789-4449
Mailing address
12462 PUTNAM ST, SUITE 500, WHITTIER, CA 90602-1048
(562) 789-5449
(562) 789-4449

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G56515
CA
208600000X
Surgery Physician
Primary
MD2014-0254
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G565151
CA
Enumeration date
10/05/2006
Last updated
03/07/2023
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