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1174955306
BRYCE WADE ANDERSEN
IDAHO FALLS, ID
NPI
1174955306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: ID NP1303A)
Enumeration Date
2013-07-30
Last Update Date
2024-03-11
Business Address
BRYCE WADE ANDERSEN NP-C
3385 POTOMAC WAY
IDAHO FALLS, ID 83404-4978
Phone number: 208-522-7246
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Mailing Address
BRYCE WADE ANDERSEN NP-C
690 N 700 E
FIRTH, ID 83236-1134
Phone number: 208-521-3870
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