LOGAN ANDERSON

POCATELLO, ID
NPI1356916209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-1750)
Enumeration Date2021-05-24
Last Update Date2024-03-06
Business Address
LOGAN ANDERSON DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-4700
Mailing Address
LOGAN ANDERSON DO
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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