Edward Anderson, PA

NPI 1326104910 · on the registry since 2006

Practice

Address: 2166 Madison Ave
Granite City, IL 62040
Phone: (618) 452-3301
Fax: (618) 452-3312
Organisation at this address: Medicate Pharmacy Inc
Southern Illinois Healthcare Foundation, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: MO, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois