MICHAEL ANDERSON, DO

Family Medicine

Active Individual
NPI: 1124406186

Practice Address

1000 POCATELLO CREEK RD STE E10
Pocatello, ID 83201

Phone: (208) 648-4789

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes O-1136 (ID)

Frequently Asked Questions

NPI 1124406186 is the National Provider Identifier for MICHAEL ANDERSON, DO, a Family Medicine provider located in Pocatello, ID. This NPI was enumerated on May 11, 2015.
MICHAEL ANDERSON, DO practices at 1000 POCATELLO CREEK RD STE E10, Pocatello, ID 83201.

Quick Facts

NPI
1124406186
Type
Individual
Enumerated
May 11, 2015
Last Updated
Aug 19, 2025

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