Organization
ANDERSEN FAMILY CARE
Active
Other names
Andersen Family Care P.L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
DALLIN ANDERSEN PA-C (OWNER)
(208) 954-0101
Entity
Organization
Contact information
Practice address
1494 WEST USTICK RD, 110, MERIDIAN, ID 83646
(208) 908-7797
Mailing address
1494 WEST USTICK RD, 110, MERIDIAN, ID 83646
(208) 908-7797
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/28/2022
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