Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 4635 | CO |
Y | 111NS0005X | Chiropractic Sports Physician | 4635 | CO |
NPI | 1336462878 |
---|---|
Provider Name | Dr. Rob Anderson |
First Address | Highlands Ranch, CO 80129-6953 |
Second Address | Highlands Ranch, CO 80129-6953 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2010 |
Last Update Date | 10/04/2013 |