SearchIdaho207R00000X

Shane Anderson, D.O

NPI 1841289659 · on the registry since 2005 · sole proprietor

Practice

Address
220 Bannock St
Malad City, ID 83252
Phone
(208) 766-2600
Organisation at this address
Oneida County Hospital
Oneida County Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
Licence states on file
MO, MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-24

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