HomeNPI Verification

NPI Verification

National Provider Identifier: 1124406186

Michael a Anderson, DO

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

1000 POCATELLO CREEK RD STE E10

POCATELLO, ID 832012953

Phone: 208-648-4789

NPI Enumeration Date

May 11, 2015

NPI Number

1124406186

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry