DAVID AXEL ANDERSON — OIG Excluded Provider (GLENDALE, AZ, 1128b4)
DAVID AXEL ANDERSON — OIG Excluded Provider (GLENDALE, AZ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: DAVID AXEL ANDERSON; Type: Individual; Provider category: DENTAL PRACTICE.
| Name | DAVID AXEL ANDERSON |
|---|---|
| Type | Individual |
| Provider category | DENTAL PRACTICE |
| Specialty | TECHNICIAN |
| City | GLENDALE |
| State | AZ |
| ZIP | 85308 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2008-11-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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