Richard C Andersen, DO
Family Medicine in Sioux City, IA. Individual provider (NPI-1).
NPI number1467612267
StatusActive
Last updated in NPPESMar 18, 2016
Details
- NPI
- 1467612267
- Entity type
- Individual (NPI-1)
- Name
- Richard C Andersen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2008
- Last updated
- Mar 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4012 | IA | Yes |
Practice location
4545 Sergeant RdSioux City, IA 51106-4706
Phone 712-274-2400 · Fax 712-274-1487
Mailing address
814 Pierce StSte 300
Sioux City, IA 51101-1058
Phone 712-226-2600 · Fax 712-226-2605
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