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1497897748
SCOTT EDWARD ANDERSON
FORT CARSON, CO
NPI
1497897748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Mr. SCOTT EDWARD ANDERSON PA-C
DIRAIMONDO TROOP MEDICAL CLINIC #9
FORT CARSON, CO 80913
Phone number: 719-210-5051
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Mailing Address
Mr. SCOTT EDWARD ANDERSON PA-C
1719 S CANOE CREEK DR
COLORADO SPRINGS, CO 80906-7755
Phone number: 719-210-5051
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