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NPI Code Detail

MEDICARE: DR. STEVEN GREGORY ANDERSON DO

MEDICARE:  DR. STEVEN GREGORY ANDERSON  DO
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
1207X00000XOrthopaedic Surgery Physician05-39056AZ

General Provider Information

NPI Number : 1558599795
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN GREGORY ANDERSON DO
Provider Business Mailing Address
First Line : 365 LAKE HAVASU AVE S STE 102
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-9368
Country : US
Telephone Number : 928-459-2121
Fax Number :
Provider Business Practice Location Address
First Line : 365 LAKE HAVASU AVE S STE 102
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-9368
Country : US
Telephone Number : 928-459-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2009
Last Update Date : 12/03/2025

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Directions to “ DR. STEVEN GREGORY ANDERSON DO” Practice Location

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