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NPI Verification

National Provider Identifier: 1700807716

Anderson Medical Group, LLC

Organization

Primary Specialty

General Practice

Code: 208D00000X

All Specialties (15)

Anesthesiology, Pain Medicine

Code: 207LP2900X

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Critical Care Medicine

Code: 207RC0200X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Gastroenterology

Code: 207RG0100X

Internal Medicine, Nephrology

Code: 207RN0300X

Psychiatry & Neurology, Neurology

Code: 2084N0400X

Neurological Surgery

Code: 207T00000X

Surgery

Code: 208600000X

Obstetrics & Gynecology

Code: 207V00000X

Orthopaedic Surgery

Code: 207X00000X

Otolaryngology

Code: 207Y00000X

General Practice

Code: 208D00000X

Primary

Practice Address

6810 STATE ROUTE 162

SUITE 215

MARYVILLE, IL 620628501

Phone: 618-288-5711

NPI Enumeration Date

July 22, 2006

NPI Number

1700807716

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
Anderson Medical Group, LLC - NPI 1700807716 | Provider Verification | HormoneMap