Anderson Family Practice
NPI #1023235348 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1023235348
- Entity Type
- Organization
- Organization Name
- Anderson Family Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3505 BROADWAY ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2202
- Phone
- (618) 244-7788
Authorized Official
- Name
- DR. ALAN W ANDERSON, MD
- Title
- PRESIDENT
- Phone
- (618) 244-7788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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