BASIL CLARENCE ANDERSON M.D.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1518282110- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 132 MAIN ST N, KIMBERLY, ID, 83341
- Phone
- (208) 735-3938
- Fax
- (208) 735-3939
Specialties & Taxonomies
Family Medicine
License: CA #A120404
Family Medicine
License: OR #MD154424
Student in an Organized Health Care Education/Training Program
#Student
Family Medicine
Primary License: ID #M-11966