| Doctor Name: | DANIEL M ANDERSON |
| NPI Number: | 1598925588 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD.203351 |
| Business Practice Address: | 57950 Leavenworth St Ste 4e1 Mcconnell Afb, KS - 672213506 |
| Business Phone Number: | 3167595116 |
| Business Fax Number: | 3167596553 |
| Mailing Address: | 57950 Leavenworth St, Ste 4e1 MCCONNELL AFB |
| State: | KS |
| Postal Code: | 672213506 |
| Phone Number: | 3167595116 |
| Fax Number: | 3167596553 |
| NPI Enumeration Date: | 06/12/2008 |
| NPI Last Update Date: | 09/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD.203351 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |