NPI 1134486301
Anson Lamar Anderson, HIS
Practice location
- Address
- 167 State St, Madison, WV 25130-1139
- Phone
- (304) 369-1123
- Fax
- (304) 369-9001
- Mailing address
- 750 N Commons Dr STE 200, Aurora, IL 60504-7940
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1134486301
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2012
- Record last updated
- 24 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.