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DR. KANE LIBRUM ANDERSON M.D.
Hand Surgery >> Orthopaedic Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1063514495
Individual Registrant:DR. KANE LIBRUM ANDERSON M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1 MERCADO ST SUITE 202 DURANGO, CO 81301-7306 US
Tel: 970-247-5362 Fax: 970-259-6045
Tel: 970-247-5362 Fax: 970-259-6045
Contact information for business:
1 MERCADO ST SUITE 202 DURANGO, CO 81301-7306 US
Tel: 970-247-5362 Fax: 970-259-6045
Tel: 970-247-5362 Fax: 970-259-6045
Registration Information:
NPI: 1063514495
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207XS0106X | Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery | CO | 47733 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE PTAN | 305752 | CO | 01 |
