Individual
JULIE MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
117 W MAIN ST STE 101, REXBURG, ID 83440-1826
(208) 709-0478
Mailing address
PO BOX 3625, IDAHO FALLS, ID 83403-3625
(800) 338-5378
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-871
ID
Other
Enumeration date
10/28/2010
Last updated
04/26/2021
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