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1730599598
DOUGLAS KEN ANDERSEN
POCATELLO, ID
NPI
1730599598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 6352)
Enumeration Date
2014-05-02
Last Update Date
2022-10-27
Business Address
Dr. DOUGLAS KEN ANDERSEN DO
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1720
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Mailing Address
Dr. DOUGLAS KEN ANDERSEN DO
10109 E. 79TH STREET
TULSA, OK 74133
Phone number: 918-286-5000
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