MEDICARE: DR. MARKHAM J ANDERSON M. D.

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	208800000X	Urology Physician	22474	IA

General Provider Information

NPI Number	:	1801889472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARKHAM J ANDERSON M. D.

Provider Business Mailing Address
First Line	:	5050 WATERBURY RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50312-1918
Country	:	US
Telephone Number	:	515-279-4557
Fax Number	:

Provider Business Practice Location Address
First Line	:	2943 NORTHGATE DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-9571
Country	:	US
Telephone Number	:	319-338-1197
Fax Number	:

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

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	05/26/2015

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