Healthcare Provider Details

I. General information

NPI: 1376286872
Provider Name (Legal Business Name): ERIK ALLEN ANDERSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 E WOODMEN RD
COLORADO SPRINGS CO
80923-2601
US

IV. Provider business mailing address

9451 E BECKER LN APT 1035
SCOTTSDALE AZ
85260-6763
US

V. Phone/Fax

Practice location:
  • Phone: 719-571-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax: 925-307-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number0077310
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: