Anderson Medical Group

NPI #1710043583 in Marietta, Ohio

Provider Information

NPI Number: 1710043583
Entity Type: Organization
Organization Name: Anderson Medical Group
Primary Specialty: Specialist
Enumeration Date: Dec 28, 2006
Last Updated: Jan 10, 2012

Practice Location

Address: 400 MATTHEW ST
Address 2: STE 101
City: Marietta
State: Ohio
ZIP Code: 45750-1656
Phone: (304) 424-4841

Authorized Official

Name: ROGER D ANDERSON, MD
Title: DOCTOR
Phone: (304) 424-4841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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