Marvin G Anderson in Gilroy - Sports Physician
Marvin G Anderson - NPI 1174681670
Marvin G Anderson is a Sports Physician in Gilroy, California. Marvin G Anderson practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Marvin G Anderson is 1174681670. The last update date is 2007-07-08.
Marvin G Anderson's current location address is 66 1st St Ste A, Gilroy, California. You can contact this provider via phone number 4088424388 and fax number 4088428686. The mailing address for Marvin G Anderson is 66 1st St Ste A, Gilroy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin G Anderson |
|---|---|
| Address | 66 1st St Ste A, Gilroy, California |
| Phone Number | 4088424388 |
| Fax Number | 4088428686 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1174681670 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 1st St Ste A |
|---|---|
| City | Gilroy |
| State | California (CA) |
| Post Code | 950205140 |
| Phone Number | 4088424388 |
| Fax Number | 4088428686 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 21634 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique identifier code issued to Marvin G Anderson by the Centers for Medicare & Medicaid Services?
The Marvin G Anderson has been assigned the NPI (National Provider Identifier) 1174681670. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marvin G Anderson's physical address?
The Marvin G Anderson is physically located at 66 1St St Ste A, in the city of Gilroy, CA, with the postal code 950205140.
What is the Marvin G Anderson's specialty and taxonomy code?
The Marvin G Anderson's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
When was the Marvin G Anderson's 1174681670 issued?
The Marvin G Anderson's 1174681670 was issued on 2006-12-05.
When was the Marvin G Anderson's information last updated?
The Marvin G Anderson's information was last updated on 2007-07-08.