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MR. DAMON ANDERSON P.T.
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1689736480
Individual Registrant:MR. DAMON ANDERSON P.T.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
980 CASS ST #A MONTEREY, CA 93940-4548 US
Tel: 831-375-1131 Fax: 831-375-1520
Tel: 831-375-1131 Fax: 831-375-1520
Contact information for business:
24885 OUTLOOK DR CARMEL, CA 93923-8934 US
Tel: 831-375-1135 Fax: 831-375-1520
Tel: 831-375-1135 Fax: 831-375-1520
Registration Information:
NPI: 1689736480
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | CA | PT11606 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
