Individual
PHILIP ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 302-2000
(208) 302-2055
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-1926
ID
207R00000X
Internal Medicine Physician
R-12085
IA
Other
Enumeration date
06/01/2021
Last updated
05/23/2024
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