NPI 1912317447 · live from the CMS NPI Registry
Tyler James Anderson, M.D.
Family Medicine in Lakewood, CO. National Provider Identifier 1912317447, active.
NPI record
| NPI | 1912317447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 8383 W Alameda Ave, Lakewood, CO 80226 |
| Practice phone | 303-338-4545 |
| Mailing address | 10350 E Dakota Ave, Denver, CO 80247 |
| Enumerated | May 6, 2014 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | DR.0058895 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.