LOGAN ANDERSON

JEROME, ID
NPI1356916209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-1750)
Enumeration Date2021-05-24
Last Update Date2024-06-25
Business Address
LOGAN ANDERSON DO
132 5TH AVE W STE 1&2
JEROME, ID 83338-1871
Phone number: 208-814-9800
Mailing Address
LOGAN ANDERSON DO
132 5TH AVE W STE 1&2
JEROME, ID 83338-1871
Phone number: 208-814-9800
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