NPI 1013987536 · live from the CMS NPI Registry
Edward Ratcliffe Anderson, MD
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Las Vegas, NV. National Provider Identifier 1013987536, active.
NPI record
| NPI | 1013987536 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X |
| Practice location | 4750 W Oakey Blvd Ste 2b, Las Vegas, NV 89102 |
| Practice phone | 702-579-3297 |
| Mailing address | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 |
| Enumerated | January 26, 2006 |
| Last updated | June 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 24197 (AL) |
| Orthopaedic Surgery | 207X00000X | N7603 (TX) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary | 207XS0117X | N7603 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.