Individual provider · NPI-1

Gregory C Anderson, MD

Family Medicine · Tacoma, WA

NPI number1235299371
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1235299371
Entity type
Individual (NPI-1)
Name
Gregory C Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 11, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD 00017233WAYes

Practice location

Madigan Army Medical Ctr
Tacoma, WA 98431-0001

Phone 253-966-7547

Mailing address

Madigan Army Medical Ctr
Tacoma, WA 98431-0001

Phone 253-966-7547

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