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Contact Information

MARK W ANDERSON, DO
1 HOSPITAL DR
COLUMBIA, MO65212-1000
 Phone: 573-882-2568
 Fax: 573-882-2226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MARK W ANDERSON · (Male)

NPI Number 1407531155
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/20/2023
Last updated 06/20/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2023023751
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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