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NPI Code Detail

MEDICARE: ROBERT SCOTT ANDERSON MD

MEDICARE: ROBERT SCOTT ANDERSON 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
1207Q00000XFamily Medicine Physician34326CO

General Provider Information

NPI Number : 1295736700
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT SCOTT ANDERSON MD
Provider Business Mailing Address
First Line : 1300 RIVERSIDE AVE STE 102
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4353
Country : US
Telephone Number : 970-224-1670
Fax Number : 970-495-6218
Provider Business Practice Location Address
First Line : 3519 RICHMOND DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-5995
Country : US
Telephone Number : 970-204-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/10/2021

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Directions to “ ROBERT SCOTT ANDERSON MD” Practice Location

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