Andersen Family Care

NPI #1124741277 in Meridian, Idaho

Provider Information

NPI Number
1124741277
Entity Type
Organization
Organization Name
Andersen Family Care
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 23, 2022
Last Updated
Sep 28, 2022

Practice Location

Address
1494 WEST USTICK RD
Address 2
110
State
Idaho
ZIP Code
83646
Phone
(208) 908-7797

Authorized Official

Name
DALLIN ANDERSEN, PA-C
Title
OWNER
Phone
(208) 954-0101

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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