person
Michael A Anderson, DO
Family Medicine Physician in Pocatello, Idaho
NPI 1124406186

Michael A Anderson is a Family Medicine Physician based in Pocatello, ID. Michael A Anderson practices in Pocatello, ID and has the professional credentials of DO. The NPI Number for Michael A Anderson is 1124406186 and holds a License No. (Idaho).

The current practice location address for Michael A Anderson is 1000 Pocatello Creek Rd Ste E10, Pocatello, ID and can be reached out via phone at 208-648-4789 and via fax at 208-648-4790.

Location: 1000 Pocatello Creek Rd Ste E10, Pocatello, ID, 83201-1988
person
Provider Profile Details
NPI Number
1124406186
Provider Name
Michael A Anderson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1000 Pocatello Creek Rd Ste E10, Pocatello, ID, 83201-1988
Phone Number
208-648-4789
Fax Number
208-648-4790
Provider Enumeration Date
05/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124406816 05 ID
institution
Provider Business Practice Location Address Details
Address
1000 Pocatello Creek Rd Ste E10
City
State
Zip
83201-2953
Phone Number
208-648-4789
Fax Number
208-648-4790
person
Provider Business Mailing Address Details
Address
1000 Pocatello Creek Rd Ste E10
City
State
Zip
83201-2953
Phone Number
208-648-4789
Fax Number
208-648-4790
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
O-1136 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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