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Individual

ALPHA TAMIR ANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 S EAGLE RD STE 2207, MERIDIAN, ID 83642-6354
(208) 947-2266
(208) 947-2267
Mailing address
9452 MEDICAL CENTER DR # 898, LA JOLLA, CA 92037-1337
(858) 249-3800

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
323605
LA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
7771956
ID
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A193769
CA

Other

Enumeration date
03/24/2020
Last updated
09/04/2025
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