| Doctor Name: | DR. JOHN NELS ANDERSON |
| NPI Number: | 1134290398 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 1677 |
| Business Practice Address: | 265 N Binkley St Soldotna, AK - 996697523 |
| Business Phone Number: | 9072624161 |
| Business Fax Number: | 9072621545 |
| Mailing Address: | 265 N Binkley St, SOLDOTNA |
| State: | AK |
| Postal Code: | 996697523 |
| Phone Number: | 9072624161 |
| Fax Number: | 9072621545 |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 09/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1677 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |