Michael Anderson, DO

NPI 1124406186 · on the registry since 2015

Practice

Address: 1000 Pocatello Creek Rd Ste E10
Pocatello, ID 83201
Phone: (208) 648-4789
Fax: (208) 648-4790
Organisation at this address: Thrifty Payless Inc
Ridley'S Family Markets, Inc
Idaho Modern Medicine - Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 390200000X
Licence states on file: MI, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho