NPI 1275526501 · live from the CMS NPI Registry
Rudolph Clinton Anderson, DPM
Podiatrist in Alexandria, VA. National Provider Identifier 1275526501, active.
NPI record
| NPI | 1275526501 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1600 N Beauregard St Ste 300, Alexandria, VA 22311 |
| Practice phone | 703-940-3810 |
| Enumerated | August 23, 2005 |
| Last updated | December 30, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 0103001041 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.