CLINTON W ANDERSON MD

PROVIDENCE HEALTH AND SERVICES-WA

Dr CLINTON W ANDERSON MD is a male medical professional, specializing in Family Medicine. He graduated in 1997.

Contact

PROVIDENCE HEALTH AND SERVICES-WA

1330 ROCKEFELLER AVE
EVERETT
WA
982011676

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CLINTON W ANDERSON MD Information

Npi 1134106867
Pac Id 9436114477
Professional Enrollment Id I20081104000671
Last Name ANDERSON
First Name CLINTON
Middle Name W
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1997
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES-WA
Group Practice Pac Id 8325100480
Number Of Group Practice Members 368
Line 1 Street Address 1330 ROCKEFELLER AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City EVERETT
State WA
Zip Code 982011676
Phone Number
Hospital Affiliation Ccn 1 500014
Hospital Affiliation Lbn 1 PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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