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ROBERT M ANDERSON PA

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

Registrant NPI Number: 1215140751

Individual Registrant:
 ROBERT M ANDERSON PA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10240 PRINCIPE PL  SANTA ROSA VALLEY, CA 93012-8830 US
Tel: 805-375-7900  Fax: --

Contact information for business:
10240 PRINCIPE PL  SANTA ROSA VALLEY, CA 93012-8830 US
Tel: 805-375-7900  Fax: --

Registration Information:
NPI: 1215140751
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA14749

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSE NUMBERPA14749CA01




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