Anderson, Brian Leroy

Anderson, Brian Leroy is an individual health care provider with primary practice located at 1150 N Indian Canyon Dr , Palm Springs CA 92262-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Brian Leroy can be contacted via phone (760) 323-6251.

Contact Information

Primary practice address
1150 N Indian Canyon Dr Palm Springs CA 92262-4872
Phone: (760) 323-6251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A70747 California

Profile Details

NPI number 1396788469
LBN Legal business name Anderson, Brian Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396788469 NPPES
California MEDICAID 00A707470

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