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Mark Anderson
NPI 1326607383 · on the registry since 2019
Practice
- Address
- 1978 Addison Ave E
Twin Falls, ID 83301 - Phone
- (208) 733-2656
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-12
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