MICHAEL A ANDERSON DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1124406186- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1000 POCATELLO CREEK RD STE E10, POCATELLO, ID, 832012953
- Phone
- (208) 648-4789
- Fax
- (208) 648-4790
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: MI
Family Medicine
Primary License: ID #O-1136