NICHOLAS ANDERSON

IDAHO FALLS, ID
NPI1093281016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1788)
Enumeration Date2018-10-17
Last Update Date2023-11-01
Business Address
NICHOLAS ANDERSON PA-C
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404-7546
Phone number: 208-529-2230
Mailing Address
NICHOLAS ANDERSON PA-C
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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