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Contact Information

LEE S ANDERSON JR, MD
455 ST. MICHAELS DRIVE
SANTA FE, NM87505
 Phone: 505-913-3934
 Fax: 505-368-6431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LEE S ANDERSON JR · (Male)

NPI Number 1962411009
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2006
Last updated 11/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 227729
  • NM License # MD2009-0234
  • AZ Medicaid 263793
  • CO Medicaid 29370540
  • NM Medicaid 58634266
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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