Organization
ANTHONY J ANDERSON MD & ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JUDD ANDERSON MD (OWNER)
(208) 878-9432
Entity
Organization
Contact information
Practice address
1404 POMERELLE AVE STE B, BURLEY, ID 83318-2013
(208) 878-9432
(208) 878-4576
Mailing address
1404 POMERELLE AVE STE B, BURLEY, ID 83318-2013
(208) 878-9432
(208) 878-4576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-11018
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508021726
—
ID
Enumeration date
04/01/2013
Last updated
03/18/2016
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