Provider Demographics
NPI:1700972494
Name:ANDERSON, DUANE CLAUDE (MD)
Entity type:Individual
Prefix:DR
First Name:DUANE
Middle Name:CLAUDE
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3701 LITTLE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401
Mailing Address - Country:US
Mailing Address - Phone:540-840-7199
Mailing Address - Fax:702-680-1700
Practice Address - Street 1:3059 S. MARYLAND PARKWAY
Practice Address - Street 2:SUITE 202
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109
Practice Address - Country:US
Practice Address - Phone:702-438-9355
Practice Address - Fax:702-680-1700
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2019-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101034891207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C61574Medicare UPIN