Doctor Name: | RICHARD STACEY ANDERSON |
NPI Number: | 1831265743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | AK2287 |
Business Practice Address: | 1650 Cowles St Fairbanks, AK - 997015925 |
Business Phone Number: | 9074528181 |
Business Fax Number: | |
Mailing Address: | Po Box 74067, FAIRBANKS |
State: | AK |
Postal Code: | 997074067 |
Phone Number: | 8669522255 |
Fax Number: | 8664522256 |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | AK2287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |