Individual provider · Type 1 NPI

James Richard Anderson, PA-C

Medical Physician Assistant · Pueblo, CO

NPI number 1588057319 Active

Practice location

3676 Parker Blvd
Pueblo, CO 81008-2212

Call (719) 553-1802 Map

Mailing address

P.o. Box 9000, Southern Colorado Clinic
Pueblo, CO 82008-9000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.0004455 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1588057319

James Richard Anderson, PA-C's National Provider Identifier is 1588057319, issued on Mar 18, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pueblo, CO. The record was last updated on Dec 7, 2015.