Provider Demographics
NPI:1760123269
Name:ANDERSON, DAVID D (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-5500
Mailing Address - Fax:
Practice Address - Street 1:2647 S SAINT ELIZABETH BLVD STE 100
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-5019
Practice Address - Country:US
Practice Address - Phone:225-765-5500
Practice Address - Fax:225-644-5415
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA331512207Q00000X
LA345438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine