Dr. William Wallace Anderson, M.D.
Family Medicine in Rio Rancho, NM. Individual provider (NPI-1).
NPI number1194800334
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1194800334
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Wallace Anderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2006
- Certification date
- Nov 13, 2025
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 78-105 | NM | Yes |
| 225B00000X | Pulmonary Function Technologist | 78105 | NM |
Practice location
1400 Barbara Loop Se Ste ARio Rancho, NM 87124-1088
Phone 505-892-9711 · Fax 505-892-5206
Mailing address
1400 Barbara Loop Se Ste ARio Rancho, NM 87124-1088
Phone 505-892-9711 · Fax 505-892-5206
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