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Julie Anderson, P.A
NPI 1215237896 · on the registry since 2010 · sole proprietor
Practice
- Address
- 117 W Main St Ste 101
Rexburg, ID 83440 - Phone
- (208) 709-0478
- Organisation at this address
- Skinlab 360 Dermatology & Aesthetics Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-26
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