GARY STEVEN ANDERSON
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1225868201- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 360 S ARTHUR AVE, POCATELLO, ID, 832043307
- Phone
- (208) 232-6675
Specialties & Taxonomies
Optometrist
Primary License: ID #4961464