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Individual

DR. GEFF D ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
9632 W EMERALD, STE A, BOISE, ID 83704-9762
(208) 377-0551
(208) 377-0557
Mailing address
9632 W EMERALD, STE A, BOISE, ID 83704-9762
(208) 377-0551
(208) 377-0557

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C529
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010007900
BS
01
C5295
BC
Enumeration date
11/02/2006
Last updated
07/08/2007
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