DALLIN ANDERSEN

MERIDIAN, ID
NPI1851658595
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA22062)
Enumeration Date2012-04-19
Last Update Date2022-10-04
Business Address
DALLIN ANDERSEN PA-C
1494 W. USTICK RD. 110
MERIDIAN, ID 83646
Phone number: 208-908-7797
Mailing Address
DALLIN ANDERSEN PA-C
1494 W. USTICK RD. 110
MERIDIAN, ID 83646
Phone number: 208-954-0101
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