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Contact Information

BRUCE A ANDERSEN, DPM
109 RAILROAD AVE
LAS VEGAS, NM87701
 Phone: 505-425-9491
 Fax: 505-454-8171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRUCE A ANDERSEN · (Male)

NPI Number 1609960699
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/03/2006
Last updated 05/07/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 163
  • Other 005351 BCBS
  • Other 10478 PRESBYTERIAN HP
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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