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Dallin Andersen, PA-C
NPI 1851658595 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1494 W. Ustick Rd.
110
Meridian, ID 83646 - Phone
- (208) 908-7797
- Fax
- (208) 908-6588
- Organisation at this address
- Andersen Family Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-04
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