Individual provider · NPI-1

Travis Anderson, MD

Family Medicine · Bismarck, ND

NPI number1417442880
StatusActive
Last updated in NPPESJun 27, 2018

Details

NPI
1417442880
Entity type
Individual (NPI-1)
Name
Travis Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2018
Last updated
Jun 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineRL15202NDYes

Practice location

701 E Rosser Ave
Bismarck, ND 58501-4461

Phone 701-751-9500 · Fax 701-751-9508

Mailing address

701 E Rosser Ave
Bismarck, ND 58501-4461

Phone 701-751-9500 · Fax 701-751-9508

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