Bruce A Andersen is a Podiatrist in Las Vegas, New Mexico. Bruce A Andersen practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bruce A Andersen is 1609960699. The last update date is 2008-05-07.
Bruce A Andersen's current location address is 109 Railroad Ave, Las Vegas, New Mexico. You can contact this provider via phone number 5054259491 and fax number 5054548171. The mailing address for Bruce A Andersen is 109 Railroad Ave, Las Vegas, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Andersen |
|---|---|
| Address | 109 Railroad Ave, Las Vegas, New Mexico |
| Phone Number | 5054259491 |
| Fax Number | 5054548171 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1609960699 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2008-05-07 |
Provider Mailing Address Detail
| Address | 109 Railroad Ave |
|---|---|
| City | Las Vegas |
| State | New Mexico (NM) |
| Post Code | 87701 |
| Phone Number | 5054259491 |
| Fax Number | 5054548171 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 163 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5351 | BCBS | ||
| 10478 | PRESBYTERIAN HP |
Post Comment/ Review Below
What is the Bruce A Andersen's unique identification number?
The Bruce A Andersen has been assigned the NPI (National Provider Identifier) Number 1609960699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Bruce A Andersen is physically located?
The Bruce A Andersen is situated at the following address: 109 Railroad Ave, Las Vegas, NM 87701.
What is Bruce A Andersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce A Andersen is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Bruce A Andersen receive its 1609960699 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Andersen was assigned its 1609960699 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the Bruce A Andersen's details last updated?
The information pertaining to the Bruce A Andersen, including its address, specialty, and other details, was most recently updated on 2008-05-07.