Corey Lee Anderson, PA-C Valid NPI

Individual provider · Physician Assistant · Rapid City, SD

NPI

1194093161

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

0802 (SD)

Sex

Male

Sole proprietor

No

Enumerated

2011-12-06

Last updated

2020-01-16