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NPI Verification

National Provider Identifier: 1215900303

Mark Ian Anderson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

450 S KITSAP BLVD STE 210

PORT ORCHARD, WA 983663738

Phone: 360-895-8950

NPI Enumeration Date

February 9, 2006

NPI Number

1215900303

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry