DR. SHANE ANDERSON, D.O.
Internal Medicine
Active
Individual
NPI: 1841289659
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 11818 (MT) |
Frequently Asked Questions
NPI 1841289659 is the National Provider Identifier for DR. SHANE ANDERSON, D.O., a Internal Medicine provider located in Malad City, ID. This NPI was enumerated on October 14, 2005.
DR. SHANE ANDERSON, D.O. practices at 220 BANNOCK ST, Malad City, ID 83252.
Quick Facts
- NPI
- 1841289659
- Type
- Individual
- Enumerated
- Oct 14, 2005
- Last Updated
- May 24, 2011
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