Bryan James Anderson MD PC
Surgery in Boise, ID. Organization (NPI-2).
NPI number1245891787
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1245891787
- Entity type
- Organization (NPI-2)
- Legal business name
- Bryan James Anderson MD PC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2019
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
6140 W Curtisian Ave Ste 400Boise, ID 83704-8907
Phone 208-321-5275 · Fax 208-327-5602
Mailing address
6140 W Curtisian Ave Ste 400Boise, ID 83704-8907
Phone 208-327-5635 · Fax 208-327-5602
Authorized official
Bryan Anderson
Owner
2083215275
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