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NPI Code Detail

MEDICARE: CRAIG HOLGER ANDERSEN MD

MEDICARE: CRAIG HOLGER ANDERSEN MD
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
1208600000XSurgery Physician34956CO

Other Identifiers

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

General Provider Information

NPI Number : 1164535340
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG HOLGER ANDERSEN MD
Provider Business Mailing Address
First Line : 2440 N 11TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8102
Country : US
Telephone Number : 970-243-0900
Fax Number :
Provider Business Practice Location Address
First Line : 2440 N 11TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8102
Country : US
Telephone Number : 970-243-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 01/16/2019

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Directions to “ CRAIG HOLGER ANDERSEN MD” Practice Location

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