Robert M Anderson in Santa Rosa Valley - Physician Assistant

Robert M Anderson - NPI 1215140751

Robert M Anderson is a Physician Assistant in Santa Rosa Valley, California. Robert M Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert M Anderson is 1215140751. The last update date is 2007-07-08.

Robert M Anderson's current location address is 10240 Principe Pl, Santa Rosa Valley, California. You can contact this provider via phone number 8053757900. The mailing address for Robert M Anderson is 10240 Principe Pl, Santa Rosa Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert M Anderson
Address 10240 Principe Pl, Santa Rosa Valley, California
Phone Number 8053757900
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1215140751
Provider Enumeration Date 2007-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10240 Principe Pl
City Santa Rosa Valley
State California (CA)
Post Code 930128830
Phone Number 8053757900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA14749
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA14749 CA STATE LICENSE NUMBER

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FAQs about Robert M Anderson

What is the unique identifier code issued to Robert M Anderson by the Centers for Medicare & Medicaid Services?

The Robert M Anderson has been assigned the NPI (National Provider Identifier) 1215140751. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Robert M Anderson is physically located?

The Robert M Anderson is situated at the following address: 10240 Principe Pl, Santa Rosa Valley, CA 930128830.

What is the area of specialization for Robert M Anderson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert M Anderson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date was the 1215140751 assigned to Robert M Anderson?

The Robert M Anderson was issued its 1215140751 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Robert M Anderson's information last updated?

The Robert M Anderson's information was last updated on 2007-07-08.

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