| NPI | 1972613370 |
|---|---|
| Professional Name | G DOUGLAS ANDERSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC17373) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: CA DC17373) |
| 133N00000X Nutritionist (Licence: CA 3910) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-08-27 |