Austin Scott Anderson, MD
Student in an Organized Health Care Education/Training Program in Fontana, CA. Individual provider (NPI-1).
NPI number1669969044
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1669969044
- Entity type
- Individual (NPI-1)
- Name
- Austin Scott Anderson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2018
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
17234 Valley Blvd.Fontana, CA 92335
Phone 909-427-5000
Mailing address
17234 Valley Blvd.Fontana, CA 92335
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