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Krista Jean Andersen-Harris, DO

Internal Medicine in Pocatello, ID. Individual provider (NPI-1).

NPI number1548216252
StatusActive
Last updated in NPPESJan 3, 2016

Details

NPI
1548216252
Entity type
Individual (NPI-1)
Name
Krista Jean Andersen-Harris
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2006
Last updated
Jan 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineO-0460IDYes

Practice location

777 Hospital Way
Pocatello, ID 83201-5175

Phone 208-239-1415 · Fax 208-239-3705

Mailing address

777 Hospital Way
Pocatello, ID 83201-5175

Phone 208-239-1415 · Fax 208-239-3705

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