NOEL ANDERSON PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1881050540- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 425 W BANNOCK ST, BOISE, ID, 837026035
- Phone
- (208) 343-6458
Specialties & Taxonomies
Physician Assistant
Physician Assistant
License: FL #PA 9109214
Physician Assistant
Primary License: ID #PA1897