Individual provider · NPI-1

Philip Anderson, DO

Internal Medicine · Boise, ID

NPI number1154997104
StatusActive
Last updated in NPPESMay 23, 2024

Details

NPI
1154997104
Entity type
Individual (NPI-1)
Name
Philip Anderson
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2021
Certification date
May 23, 2024
Last updated
May 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicineo-1926IDYes
207R00000X Internal MedicineR-12085IA

Practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Phone 208-302-2000 · Fax 208-302-2055

Mailing address

Po Box 190930
Boise, ID 83719-0930

Phone 208-367-5170 · Fax 208-367-5180

Other practice locations

1111 6th Ave
Des Moines, IA 50314-2613

Phone 515-643-2261 · Fax 515-643-5802

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