Individual
DAVID RAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S HOLMES, IDAHO FALLS, ID 83403-2410
(208) 529-3937
(208) 524-4380
Mailing address
PO BOX 2410, IDAHO FALLS, ID 83403-2410
(208) 529-3937
(208) 524-4380
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M3793
ID
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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