Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIM DOUGLAS ANDERSON, M.D.
Active Sole ProprietorJIM DOUGLAS ANDERSON, M.D. is a Neurological Surgery healthcare provider located in SAN CARLOS, California. NPI 1073974473 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · SAN CARLOS, CA
Registration Details
- NPI Number
- 1073974473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2016 (10.449043186318 yrs)
- Last Updated
- Mar 11, 2016
- License
-
G29493 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 GRANITE CTSAN CARLOS, CA, 940704306Browse CA providers · Browse ZIP 94070
- Phone
- 4152986656
- Fax
- 6503669401
- Primary Specialty
-
Neurological Surgery
207T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.