Basic Information
Provider Information
NPI: 1821451543
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANDERSON
FirstName: RALEIGH
MiddleName: FRANCES
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13001 E 17TH PL
Address2: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
City: AURORA
State: CO
PostalCode: 800452570
CountryCode: US
TelephoneNumber: 3037241784
FaxNumber:  
Practice Location
Address1: 13001 E 17TH PL
Address2: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
City: AURORA
State: CO
PostalCode: 800452570
CountryCode: US
TelephoneNumber: 3037241784
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2016
LastUpdateDate: 08/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000XDR.0063621COY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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