Individual provider · NPI-1

Gregory D. Anderson, MD

Internal Medicine, Critical Care Medicine · Walnut Creek, CA

NPI number1063590131
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063590131
Entity type
Individual (NPI-1)
Name
Gregory D. Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care MedicineG25242CAYes

Practice location

1425 S Main St
Walnut Creek, CA 94596-5318

Phone 925-295-4000

Mailing address

1800 Harrison St Fl 7
Oakland, CA 94612-3429

Phone 510-625-6262

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