# ANCHOR MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871284430
- **Authorized official:** CINDY M STICE (MANAGER)
- **Authorized official phone:** (208) 230-0314

## Contact information

- **Practice address:** 7070 S UNION PARK AVE STE 300, MIDVALE, UT 84047-6061
- **Practice address phone:** (208) 230-0314
- **Mailing address:** 16924 BUTTERFLY RIDGE RD, CALDWELL, ID 83607-8859
- **Mailing address phone:** (208) 230-0314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2023
- **Last updated:** 03/11/2025