HomeNPI Verification
NPI Verification
National Provider Identifier: 1356916209
Logan Anderson, DO
Individual Provider
Credentials
DO
Primary Specialty
Family Medicine
Code: 207Q00000X
Practice Address
132 5TH AVE W STE 1&2
JEROME, ID 833381871
Phone: 208-814-9800
NPI Enumeration Date
May 24, 2021
NPI Number
1356916209Data 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