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Dr. Anthony J Anderson, MD
Student in an Organized Health Care Education/Training Program in Burley, Idaho
NPI 1508021726

Anthony J Anderson is a Student in an Organized Health Care Education/Training Program based in Burley, ID. Anthony J Anderson practices in Burley, ID and has the professional credentials of MD. The NPI Number for Anthony J Anderson is 1508021726 and holds a License No. 52403-020 (Idaho).

The current practice location address for Anthony J Anderson is 1501 Hiland Ave Ste A, Burley, ID and can be reached out via phone at 208-878-9432.

Location: 1501 Hiland Ave Ste A, Burley, ID, 83318-2682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508021726
Provider Name
Anthony J Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1501 Hiland Ave Ste A, Burley, ID, 83318-2682
Phone Number
208-878-9432
Fax Number
Provider Enumeration Date
07/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2723 01 WI TEP
institution
Provider Business Practice Location Address Details
Address
1501 Hiland Ave Ste A
City
Burley
State
Idaho
Zip
83318-2682
Phone Number
208-878-9432
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Hiland Ave Ste A
City
Burley
State
Idaho
Zip
83318-2682
Phone Number
208-878-9432
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M-11018 (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
390200000X
License No.
52403-020 (Wisconsin)
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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