Sean D Anderson D.O.

NPI 1063701217 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063701217
Gender Male
Enumeration Date 03/28/2011
Last Updated 08/05/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
3100 CHANNING WAY
IDAHO FALLS ID, 83404-7533, US
Phone (208) 227-2100
Fax (208) 227-2362
Business Location
3100 CHANNING WAY
IDAHO FALLS ID, 83404-7533, US
Phone (208) 227-2100
Fax (775) 337-2271
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Sean D Anderson D.O. NPI is 1063701217, taxonomy code is 390200000X Sean D Anderson D.O. physically located at 3100 Channing Way, Idaho Falls ID, 83404-7533. NPI Number Sean D Anderson D.O. has the Individual type.

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1063701217 NPI number is provided on an as is basis without warranty of any kind. 1063701217 is maintained by the National Plan & Provider Enumeration System. The contents of Sean D Anderson D.O. are for informational purposes only.