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NPI Verification

National Provider Identifier: 1962104133

Taylor Anderson

Individual Provider

Primary Specialty

Student in an Organized Health Care Education/Training Program

Code: 390200000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Primary

Practice Address

3100 CHANNING WAY

IDAHO FALLS, ID 834047533

Phone: 208-973-2144

NPI Enumeration Date

March 20, 2023

NPI Number

1962104133

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