Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles W Anderson, MEDICALDOCTOR

Individual provider Pediatrics Physician · NPI 1164480133

Dr. Charles W Anderson, MEDICALDOCTOR is a Pediatrics Physician in Taos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006

Practice location Address checks out

123 Cruz Alta
Taos, NM 87571-6279
Phone: (505) 758-8651
Fax: (505) 758-7811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 64-23 (NM)

Record details

NPI number1164480133
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDICALDOCTOR
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESAugust 31, 2007

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