| NPI | 1235101940 |
|---|---|
| Other Name | JOHN J ANDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NM 284) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NM 284) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NM 284) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 284) | |
| 213ER0200X Podiatrist, Radiology (Licence: NM 284) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NM 284) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2016-11-17 |