Search › Idaho › 207N00000X
Brock Andersen, M.D
NPI 1558349852 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2101 N Whitley Dr
Fruitland, ID 83619 - Phone
- (208) 452-5999
- Fax
- (208) 452-4499
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
207N00000X - Licence states on file
- ID, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-01
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