Doctor Name: | PAUL ROGER ANDERSON |
NPI Number: | 1184605396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA15414 |
Business Practice Address: | 1420 N Tracy Blvd Tracy, CA - 953763451 |
Business Phone Number: | 2093422300 |
Business Fax Number: | 2095244240 |
Mailing Address: | 4301 Northstar Way, MODESTO |
State: | CA |
Postal Code: | 953569262 |
Phone Number: | 2093422300 |
Fax Number: | 2095244240 |
NPI Enumeration Date: | 11/07/2005 |
NPI Last Update Date: | 05/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | PA15414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |