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NPI Verification

National Provider Identifier: 1700381548

Justin Douglas Anderson, MD

Individual Provider

Credentials

MD

Primary Specialty

Code: 2085R0001X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Code: 2085R0001X

Primary

Practice Address

4003 KRESGE WAY STE 115

LOUISVILLE, KY 402074652

Phone: 502-897-8163

NPI Enumeration Date

March 26, 2018

NPI Number

1700381548

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
Justin Anderson, MD - NPI 1700381548 | Provider Verification | HormoneMap