JOHN THEODORE ANDERSON

TEMPLETON, IA
NPI1790022697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IA  A-108960)
Enumeration Date2013-01-11
Last Update Date2017-08-31
Business Address
-- JOHN THEODORE ANDERSON ARNP
104 E 3RD ST
TEMPLETON, IA 51463-5027
Phone number: 712-669-3894
Mailing Address
-- JOHN THEODORE ANDERSON ARNP
2221 ELM ST
RAWLINS, WY 82301-5108
Phone number: 307-324-2221