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Basil Clarence Anderson, MD
Family Medicine Physician in Kimberly, Idaho
NPI 1518282110

Basil Clarence Anderson is a Family Medicine Physician based in Twin Falls, ID. Basil Clarence Anderson practices in Kimberly, ID and has the professional credentials of MD. The NPI Number for Basil Clarence Anderson is 1518282110 and holds a License No. STUDENT (Idaho).

The current practice location address for Basil Clarence Anderson is 132 Main St N, Kimberly, ID and can be reached out via phone at 208-735-3938.

Location: 132 Main St N, Kimberly, ID, 83301-6856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518282110
Provider Name
Basil Clarence Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
132 Main St N, Kimberly, ID, 83301-6856
Phone Number
208-735-3938
Fax Number
Provider Enumeration Date
04/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
132 Main St N
City
Kimberly
State
Idaho
Zip
83341
Phone Number
208-735-3938
Fax Number
person
Provider Business Mailing Address Details
Address
132 Main St N
City
Kimberly
State
Idaho
Zip
83341
Phone Number
208-735-3938
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M-11966 (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.
STUDENT ()
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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