HomeNPI Verification

NPI Verification

National Provider Identifier: 1194019406

Michael Anderson, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Emergency Medicine, Emergency Medical Services

Code: 207PE0004X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Emergency Medicine, Emergency Medical Services

Code: 207PE0004X

Primary

Practice Address

450 E MAIN ST

REXBURG, ID 834402048

Phone: 208-356-3691

NPI Enumeration Date

June 3, 2011

NPI Number

1194019406

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