William Goin Anderson, DO Valid NPI

Individual provider · Dermatology Physician · Lake Havasu City, AZ

NPI

1710056221

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

3015 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-07

Last updated

2008-02-07