Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD CARL ANDERSON, PA
ActiveMR. EDWARD CARL ANDERSON, PA is a Physician Assistant healthcare provider located in GRANITE CITY, Illinois. NPI 1326104910 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANITE CITY, IL
Registration Details
- NPI Number
- 1326104910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.482245108126 yrs)
- Last Updated
- Aug 9, 2021
- Licenses
-
109142 (MO)085000938 (IL)
Practice Information
- Address
-
2166 MADISON AVEGRANITE CITY, IL, 620404700Browse IL providers · Browse ZIP 62040
- Phone
- 6184523301
- Fax
- 6184523312
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GRANITE CITY, IL
| Name | Credential | NPI |
|---|---|---|
| HANNAH ZIEGLER | PA-C | 1245787472 |
| ROBERT MONTGOMERY | — | 1447787544 |
| MITRA S. SHULTZ | PA-C | 1831600667 |
| ZACHARY TRUSSLER | — | 1376259630 |
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.