| Doctor Name: | DR. BRYAN GEOFFREY ANDERSON |
| NPI Number: | 1760820989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 006519 |
| Business Practice Address: | 7219 N Litchfield Rd 56 Amds (bldg 810) Luke Afb, AZ - 853091529 |
| Business Phone Number: | 6238567527 |
| Business Fax Number: | |
| Mailing Address: | 239 S 172nd Dr, GOODYEAR |
| State: | AZ |
| Postal Code: | 853386059 |
| Phone Number: | 9048878871 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2013 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 006519 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |