NPI 1154360634 · live from the CMS NPI Registry
Eddie Evan Anderson, D.O.
Emergency Medicine in Gassaway, WV. National Provider Identifier 1154360634, active.
NPI record
| NPI | 1154360634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 100 Hoylman Dr, Gassaway, WV 26624 |
| Practice phone | 304-364-5156 |
| Mailing address | 604 W Main St, Glenville, WV 26351 |
| Enumerated | June 6, 2006 |
| Last updated | April 1, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 1995 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.