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Contact Information

JAMES R ANDERSON, PA-C
3676 PARKER BLVD
PUEBLO, CO81008-2212
 Phone: 719-553-1802
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAMES R ANDERSON · (Male)

NPI # 1588057319
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/18/2015
Last updated 12/07/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CO License # PA.0004455
Hospital affiliation(s)
  • ST JAMES HEALTHCARE - (Acute Care)
    400 S CLARK ST
    BUTTE, MT 59701
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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