Organization
BRYAN JAMES ANDERSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ANDERSON MD (OWNER)
(208) 321-5275
Entity
Organization
Contact information
Practice address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 321-5275
(208) 327-5602
Mailing address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 327-5635
(208) 327-5602
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811059264
—
ID
Enumeration date
06/25/2019
Last updated
02/23/2021
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