Andrea D Axtell, MD

NPI #1922298678 in Eagle, Idaho

Provider Information

NPI Number: 1922298678
Entity Type: Individual
Name: Andrea D Axtell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 30, 2007
Last Updated: Feb 18, 2025

Practice Location

Address: 323 E RIVERSIDE DR STE 224
City: Eagle
State: Idaho
ZIP Code: 83616-6865
Phone: (208) 302-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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