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1821106071
KENT W ANDERSON
LEWISTON, ID
NPI
1821106071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: ID M5576)
Enumeration Date
2006-08-28
Last Update Date
2007-07-09
Business Address
-- KENT W ANDERSON MD
504 6TH ST DEPARTMENT OF RADIATION ONCOLOGY
LEWISTON, ID 83501-2439
Phone number: 208-799-5600
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Mailing Address
-- KENT W ANDERSON MD
PO BOX 1829
COEUR D ALENE, ID 83816-1829
Phone number: 208-667-9334
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