Willie Brent Anderson in Lancaster - Physician Assistant
Willie Brent Anderson - NPI 1497864268
Willie Brent Anderson is a Physician Assistant in Lancaster, California. Willie Brent Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Willie Brent Anderson is 1497864268. The last update date is 2007-07-08.
Willie Brent Anderson's current location address is 907 W Lancaster Blvd, Lancaster, California. You can contact this provider via phone number 6617234829 and fax number 6617262638. The mailing address for Willie Brent Anderson is 907 W Lancaster Blvd, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Willie Brent Anderson |
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Address | 907 W Lancaster Blvd, Lancaster, California |
Phone Number | 6617234829 |
Fax Number | 6617262638 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1497864268 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 907 W Lancaster Blvd |
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City | Lancaster |
State | California (CA) |
Post Code | 935342305 |
Phone Number | 6617234829 |
Fax Number | 6617262638 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA14400 |
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 |
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What is the unique identifier code issued to Willie Brent Anderson by the Centers for Medicare & Medicaid Services?
The Willie Brent Anderson has been assigned the NPI (National Provider Identifier) 1497864268. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Willie Brent Anderson's facilities are situated?
The facilities of Willie Brent Anderson are physically located at the following address: 907 W Lancaster Blvd, Lancaster, CA, 935342305.
On what date was the 1497864268 assigned to Willie Brent Anderson?
The Willie Brent Anderson was issued its 1497864268 on 2006-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Willie Brent Anderson receive the assignment of its 1497864268 from the Centers for Medicare & Medicaid Services?
The Willie Brent Anderson was issued its 1497864268 by the Centers for Medicare & Medicaid Services on 2006-08-29.
When was the information regarding Willie Brent Anderson most recently updated?
The details pertaining to the Willie Brent Anderson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.