Anderson, Robert Ralph

Anderson, Robert Ralph is an individual health care provider with primary practice located at 1524 Mchenry Ave Suite 100, Modesto CA 95350-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Anderson, Robert Ralph can be contacted via phone (209) 577-4444.

Contact Information

Primary practice address
1524 Mchenry Ave Suite 100 Modesto CA 95350-4500
Phone: (209) 577-4444
Fax: (209) 527-2069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A24360 California

Profile Details

NPI number 1043252992
LBN Legal business name Anderson, Robert Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 11th, 2008 - about 16 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 1043252992 NPPES
California MEDICAID 00A243600

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