NPI 1164480133

Charles W Anderson, MEDICALDOCTOR

Practitioner Pediatrics Physician Taos, NM

Practice location

Address: 123 Cruz Alta, Taos, NM 87571-6279
Phone: (505) 758-8651
Fax: (505) 758-7811

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 64-23 (NM)

Other Pediatrics providers in New Mexico →

Registry record

NPI: 1164480133
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2006
Record last updated: 31 Aug 2007

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.