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CHAD ANDERSON P.A-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1043258239

Individual Registrant:
 CHAD  ANDERSON P.A-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3901 LONE TREE WAY  ANTIOCH, CA 94509-6253 US
Tel: 925-779-7200  Fax: --

Contact information for business:
4158 FLORIDA CT  LIVERMORE, CA 94550-3425 US
Tel: 925-577-6320  Fax: --

Registration Information:
NPI: 1043258239
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA18360

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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