HomeNPI Verification
NPI Verification
National Provider Identifier: 1730599598
Douglas Ken Andersen, DO
Individual Provider
Credentials
DO
Primary Specialty
Internal Medicine
Code: 207R00000X
Practice Address
777 HOSPITAL WAY
POCATELLO, ID 832015175
Phone: 208-239-1720
NPI Enumeration Date
May 2, 2014
NPI Number
1730599598Data 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