Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ANDERSON
Active Sole ProprietorJACK ANDERSON is a Podiatric Surgery healthcare provider located in VICTORVILLE, California. NPI 1982254603 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · VICTORVILLE, CA
Registration Details
- NPI Number
- 1982254603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2019 (6.9296214506298 yrs)
- Last Updated
- Sep 25, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
14810 LA MESA RDVICTORVILLE, CA, 923928639Browse CA providers · Browse ZIP 92392
- Phone
- 7609510510
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in VICTORVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| IRENE FAY LUCIOUS | — | 1215588454 |
| VERDELLE ANDERSON | — | 1861028540 |
| MARISOL CUEVAS | — | 1336857994 |
| DEBRA GRAHAM | — | 1992684534 |
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.