Individual provider · NPI-1

Dr. Albert R Anderson III, MD

Family Medicine · Indio, CA

NPI number1013002435
StatusActive
Last updated in NPPESSep 19, 2025

Details

NPI
1013002435
Entity type
Individual (NPI-1)
Name
Dr. Albert R Anderson III
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Certification date
Sep 19, 2025
Last updated
Sep 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA56013CAYes

Practice location

81719 Dr Carreon Blvd Ste F
Indio, CA 92201-5518

Phone 760-462-6880 · Fax 442-300-2206

Mailing address

81719 Dr Carreon Blvd Ste F
Indio, CA 92201-5518

Phone 760-462-6880 · Fax 442-300-2206

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