DR. Charles W Anderson, MEDICAL DOCTOR

NPI #1164480133 in Taos, New Mexico

Provider Information

NPI Number
1164480133
Entity Type
Individual
Name
DR. Charles W Anderson, MEDICAL DOCTOR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
MEDICAL DOCTOR
Enumeration Date
May 1, 2006
Last Updated
Aug 31, 2007

Practice Location

Address
123 CRUZ ALTA
City
Taos
ZIP Code
87571-6279
Phone
(505) 758-8651

Specialties & Taxonomy Codes

Specialty
Pediatrics

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Provider Name
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