MR. Edward Carl Anderson, PA

NPI #1326104910 in Granite City, Illinois

Provider Information

NPI Number: 1326104910
Entity Type: Individual
Name: MR. Edward Carl Anderson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 28, 2006
Last Updated: Aug 9, 2021

Practice Location

Address: 2166 MADISON AVE
City: Granite City
State: Illinois
ZIP Code: 62040-4700
Phone: (618) 452-3301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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