Individual
KRISTA JEAN ANDERSEN-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1415
(208) 239-3705
Mailing address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1415
(208) 239-3705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-0460
ID
Other
Enumeration date
05/25/2006
Last updated
01/03/2016
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