Dr. Shane Robert Anderson, MBBS, FRACS
Otolaryngology, Otology & Neurotology in Little Rock, AR. Individual provider (NPI-1).
NPI number1295168433
StatusActive
Last updated in NPPESAug 12, 2013
Details
- NPI
- 1295168433
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Robert Anderson
- Credential
- MBBS, FRACS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2013
- Last updated
- Aug 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0901X | Otolaryngology, Otology & Neurotology | E-8143 | AR | Yes |
Practice location
1106 Beechwood St, Hillcrest,Little Rock, AR 72205
Phone 501-416-3301
Mailing address
1106 Beechwood St, Hillcrest,Little Rock, AR 72205
Phone 501-416-3301
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