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Dr. Wallace M Anderson, MD
Diagnostic Radiology Physician in Springfield, Illinois
NPI 1578510913

Wallace M Anderson is a Diagnostic Radiology Physician based in East Peoria, IL and is specialized in Diagnostic Radiology. Wallace M Anderson practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Wallace M Anderson is 1578510913 and holds a License No. 36082306 (Illinois).

The current practice location address for Wallace M Anderson is 800 E Carpenter St, Springfield, IL and can be reached out via phone at 217-544-6464. You can also correspond with Wallace M Anderson through the mailing address at 111 OAKWOOD RD, EAST PEORIA, IL - 61611-1853 (mailing address contact number: 309-740-4272).

Location: 800 E Carpenter St, Springfield, IL, 61611-1853
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Provider Profile Details
NPI Number
1578510913
Provider Name
Wallace M Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 E Carpenter St, Springfield, IL, 61611-1853
Phone Number
217-544-6464
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360823063 05 IL
1333997 01 TN BCBS OF TN
institution
Provider Business Practice Location Address Details
Address
800 E Carpenter St
City
State
Zip
62769-5360
Phone Number
217-544-6464
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Carpenter St
City
State
Zip
62769-5360
Phone Number
217-544-6464
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
36082306 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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