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Theodore Anderson
Specialist in Glendale, Arizona
NPI 1740660034

Theodore Anderson is a Specialist based in Glendale, AZ. Theodore Anderson practices in Glendale, AZ. The NPI Number for Theodore Anderson is 1740660034 and holds a License No. (Arizona).

The current practice location address for Theodore Anderson is 5153 W Thunderbird Rd, Glendale, AZ and can be reached out via phone at 360-265-2223.

Location: 5153 W Thunderbird Rd, Glendale, AZ, 85306-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740660034
Provider Name
Theodore Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5153 W Thunderbird Rd, Glendale, AZ, 85306-4836
Phone Number
360-265-2223
Fax Number
Provider Enumeration Date
06/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5153 W Thunderbird Rd
City
Glendale
State
Arizona
Zip
85306-4836
Phone Number
360-265-2223
Fax Number
person
Provider Business Mailing Address Details
Address
5153 W Thunderbird Rd
City
Glendale
State
Arizona
Zip
85306-4836
Phone Number
360-265-2223
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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