MEDICARE: DR. DAVID ALLEN ANDERSON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	00309	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225062631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ALLEN ANDERSON DPM

Provider Business Mailing Address
First Line	:	433 MAIN AVE
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-2047
Country	:	US
Telephone Number	:	304-269-3445
Fax Number	:	304-269-5208

Provider Business Practice Location Address
First Line	:	433 MAIN AVE
Second Line	:
City	:	WESTON
State	:	WV
Zip	:	26452-2047
Country	:	US
Telephone Number	:	304-269-3445
Fax Number	:	304-269-5208

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	03/12/2026

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Directions to “ DR. DAVID ALLEN ANDERSON DPM” Practice Location

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