Individual provider · NPI-1

Richard D. Anderson, M.D.

Internal Medicine · Cody, WY

NPI number1346288263
StatusActive
Last updated in NPPESOct 5, 2011

Details

NPI
1346288263
Entity type
Individual (NPI-1)
Name
Richard D. Anderson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2006
Last updated
Oct 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2329AWYYes
207R00000X Internal Medicine6350MT

Practice location

424 Yellowstone Ave Ste 230
Cody, WY 82414

Phone 307-578-2975 · Fax 307-578-2979

Mailing address

707 Sheridan Ave
Cody, WY 82414

Phone 307-578-2480 · Fax 307-578-2492

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Cody, WY