Wesley Dale Anderson, L.S.A. Valid NPI

Individual provider · Surgical Technologist · Odessa, TX

NPI

1003961095

Type

Individual (Type 1)

Primary specialty

Surgical Technologist (Specialist/Technologist, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

246ZS0410X

License number

SA00001 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-23

Last updated

2007-07-08