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ANDREW DEAN ANDERSON MD

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1992384804

Individual Registrant:
 ANDREW DEAN ANDERSON MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
200 MERCY CIRCLE DRIVE  CAMP PENDLETON, CA 92055 US
Tel: 909-855-0012  Fax: --

Contact information for business:
PO BOX 555191  CAMP PENDLETON, CA 92055-5191 US
Tel: 909-855-0012  Fax: --

Registration Information:
NPI: 1992384804
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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