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1205974136
DAVID RAY ANDERSON
IDAHO FALLS, ID
NPI
1205974136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M3793)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- DAVID RAY ANDERSON MD
530 S HOLMES
IDAHO FALLS, ID 83403-2410
Phone number: 208-529-3937
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Mailing Address
-- DAVID RAY ANDERSON MD
PO BOX 2410
IDAHO FALLS, ID 83403-2410
Phone number: 208-529-3937
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