NPI 1861494866 · live from the CMS NPI Registry
Mark Allo Anderson, M.D.
Family Medicine in Tijeras, NM. National Provider Identifier 1861494866, active.
NPI record
| NPI | 1861494866 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 40 Campo Rd, Tijeras, NM 87059 |
| Practice phone | 505-610-5421 |
| Enumerated | August 10, 2005 |
| Last updated | November 26, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 4301078206 (MI) |
| Family Medicine | 207Q00000X | 45131-020 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.