Individual provider · NPI-1
Dr. Robert Michael Anderson, M.D.
Emergency Medicine · Lake Charles, LA
NPI number1013094416
StatusActive
Last updated in NPPESSep 29, 2011
Details
- NPI
- 1013094416
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Michael Anderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2006
- Last updated
- Sep 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 19984 | LA | Yes |
Practice location
1701 Oak Park BlvdLake Charles, LA 70601-8911
Phone 337-494-2086 · Fax 337-430-6983
Mailing address
4446 Prien Terre DrLake Charles, LA 70605-3932
Phone 337-494-2086 · Fax 337-430-6983
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