JOHN D ANDERSON

PROVIDENCE HEALTH AND SERVICE- WASHINGTON

Dr JOHN D ANDERSON is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2010.

Contact

PROVIDENCE HEALTH AND SERVICE- WASHINGTON

101 W 8TH AVE
SPOKANE
WA
992042307

Tel: 5094743131

JOHN D ANDERSON Information

Npi 1699070581
Pac Id 4183807662
Professional Enrollment Id I20120920000202
Last Name ANDERSON
First Name JOHN
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICE- WASHINGTON
Group Practice Pac Id 0840279758
Number Of Group Practice Members 170
Line 1 Street Address 101 W 8TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SPOKANE
State WA
Zip Code 992042307
Phone Number 5094743131
Hospital Affiliation Ccn 1 500054
Hospital Affiliation Lbn 1 PROVIDENCE SACRED HEART MEDICAL CENTER
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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