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Jacob Anderson, D.O
NPI 1558708792 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1300 N 12th St
Suite 605
Phoenix, AZ 85006 - Phone
- (602) 839-2668
- Fax
- (602) 839-2067
- Organisation at this address
- Banner Health
Acorn Usa Inc
Acorn Usa Inc
Banner Health
Premier Obgyn LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 347
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-05-29
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 Arizona