Christian Brook Anderson D.O.

NPI 1861538860 - Dermatology - 207ND0101X

NPI Details
NPI 1861538860
Gender Male
Enumeration Date 01/29/2007
Last Updated 03/04/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
62 REDMOND STREET
JACKSON WY, 83002-7406, US
Phone (307) 734-5864
Fax (307) 734-5866
Business Location
PO BOX 7406
JACKSON WY, 83002-7406, US
Phone (307) 734-5864
Fax (307) 734-5866
Toxanomy
Taxonomy Code 207ND0101X
License State Wyoming
License Number 7168A
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According to our database, Dr. Christian Brook Anderson D.O. NPI is 1861538860, taxonomy code is 207ND0101X and license number is 7168A, license state is located at Wyoming. Christian Brook Anderson D.O. physically located at 62 Redmond Street, Jackson WY, 83002-7406. NPI Number Christian Brook Anderson D.O. has the Individual type.

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1861538860 NPI number is provided on an as is basis without warranty of any kind. 1861538860 is maintained by the National Plan & Provider Enumeration System. The contents of Christian Brook Anderson D.O. are for informational purposes only.