Brian L Anderson Md A Professional Corporation | |
980 Sunset Hills Ln Redlands CA 92373-6963 | |
(909) 747-4134 | |
Not Available |
Full Name | Brian L Anderson Md A Professional Corporation |
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Speciality | Family Medicine |
Location | 980 Sunset Hills Ln, Redlands, California |
Authorized Official Name and Position | Brian Leroy Anderson (OWNER/CEO) |
Authorized Official Contact | 9097474134 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brian L Anderson Md A Professional Corporation 980 Sunset Hills Ln Redlands CA 92373-6963 Ph: () - | Brian L Anderson Md A Professional Corporation 980 Sunset Hills Ln Redlands CA 92373-6963 Ph: (909) 747-4134 |
NPI Number | 1124707385 |
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Provider Enumeration Date | 07/14/2023 |
Last Update Date | 08/28/2023 |
Medicare PECOS PAC ID | 1052765799 |
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Medicare Enrollment ID | O20230928001446 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124707385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brian L Anderson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1396788469 PECOS PAC ID: 2466531710 Enrollment ID: I20080512000410 |
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