DALLIN ANDERSEN PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1851658595- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1494 W. USTICK RD. 110, MERIDIAN, ID, 83646
- Phone
- (208) 908-7797
- Fax
- (208) 908-6588
Specialties & Taxonomies
Physician Assistant
Primary License: CA #PA22062