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DR. LARRY SIMON ANDERSON M.D.

Physicians Radiology Diagnostic Radiology

Provider NPI: 1215924774

Provider Information:
DR. LARRY SIMON ANDERSON M.D.
Gender: M
Not Sole Proprietor

Practice Location:
19020 33RD AVE W SUITE 210 LYNNWOOD, WA 98036-4746 US
Tel: 425-563-1500  Fax: 425-563-1374

Business Mailing Address:
19020 33RD AVE W SUITE 210 LYNNWOOD, WA 98036-4746 US
Tel: 425-563-1500  Fax: 425-563-1374

NPI Information:
NPI: 1215924774
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XPhysicians
Radiology
Diagnostic Radiology
WAMD00010119

Other Provider Identifiers:

IssuerNumberStateType
LNI PROVIDER ID115842WA01
8197105WA05



American Medical Association 2012 taxonomy code information

Code: 2085R0202X

Type:

Classification:



Definition:



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