MEDICARE: DAVID ANDERSON

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	231H00000X	Audiologist	A-010	NV
2	231HA2400X	Assistive Technology Practitioner Audiologist	A-010	NV
3	231HA2500X	Assistive Technology Supplier Audiologist	A-010	NV
4	235500000X	Speech/Language/Hearing Specialist/Technologist	A-010	NV
5	2355A2700X	Audiology Assistant	A-010	NV
6	237600000X	Audiologist-Hearing Aid Fitter	A-010	NV
7	237700000X	Hearing Instrument Specialist	A-010	NV

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	:	1215096698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ANDERSON

Provider Business Mailing Address
First Line	:	3120 S RAINBOW BLVD STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 S RAINBOW BLVD STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6235
Country	:	US
Telephone Number	:	702-233-4327
Fax Number	:	702-233-8837

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	11/19/2008

Similar Medicare Providers

1164582540 — ANDERSON AUDIOLOGY PC
Practice Location Address:

3120 S RAINBOW BLVD STE 202
LAS VEGAS, NV
89146-6235

Practice Phone: 702-233-4327
Practice Fax: 702-233-8837

1285794248 — DR. DAVID LAN ANDERSON AU.D.,CCC-A
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3120 S RAINBOW BLVD STE 201
LAS VEGAS, NV
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3120 S RAINBOW BLVD STE 202
LAS VEGAS, NV
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1972944106 — AMANDA BLAKE
Practice Location Address:

3120S RAINBOW BLVD 202
LAS VEGAS, NV
89146-6235

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Practice Fax: 702-527-6057

1629488846 — RILEY M TERRY AUD
Practice Location Address:

3120 S RAINBOW BLVD STE 202
LAS VEGAS, NV
89146-6235

Practice Phone: 702-233-4327
Practice Fax:

1629616925 — JENNIFER CORTES-KLEIN DNP APRN FNP-BC
Practice Location Address:

3120 S RAINBOW BLVD STE 201
LAS VEGAS, NV
89146-6235

Practice Phone: 702-612-5566
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Directions to “ DAVID ANDERSON ” Practice Location

Language	Start Address	Practice Location

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