HomeNPI Verification

NPI Verification

National Provider Identifier: 1841289659

Shane Keith Anderson, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

PO BOX 126

MALAD CITY, ID 832520126

Phone: 208-766-2231

NPI Enumeration Date

October 14, 2005

NPI Number

1841289659

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