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Contact Information

CLINTON M ANDERSON, MT, PA-C
2900 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV89052-5014
 Phone: 702-357-8811
 Fax: 702-947-5352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CLINTON M ANDERSON · (Male)

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
  • NV License # 260790928
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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