Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | OP60069390 | WA |
Y | 111NI0900X | Internist | OP60069390 | WA |
NPI | 1003057381 |
---|---|
Provider Name | Dr. Aaron Daniel Anderson |
First Address | Toppenish, WA 98948-1564 |
Second Address | Toppenish, WA 98948-1564 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2009 |
Last Update Date | 02/03/2021 |