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Gary Anderson
NPI 1225868201 · on the registry since 2024
Practice
- Address
- 360 S Arthur Ave
Pocatello, ID 83204 - Phone
- (208) 232-6675
- Organisation at this address
- Michael R Flandro Od Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-05
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