Idaho Modern Medicine - Pllc
NPI #1184255754 in Pocatello, Idaho
Provider Information
- NPI Number
- 1184255754
- Entity Type
- Organization
- Organization Name
- Idaho Modern Medicine - Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 31, 2020
- Last Updated
- Feb 5, 2024
Practice Location
Authorized Official
- Name
- MICHAEL A ANDERSON, DO
- Title
- PHYSICIAN / OWNER
- Phone
- (208) 648-4789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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