NPI Profile for CLINTON M ANDERSON in HENDERSON, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1740511005 |
|
| Status | Active | |
| Credentials | MT, PA-C | |
| Entity | Individual | |
| Enumeration date | 01/26/2010 | |
| Last updated | 03/17/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CLINTON M ANDERSON
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