Dr MICHAEL A ANDERSON is a male medical professional, specializing in Family Medicine. He graduated in 2015.
FAMILY PRACTICE GROUP, P.A.
1951 BENCH RD B
POCATELLO
ID
832012073
Tel: 2082381000
| Npi | 1124406186 |
| Pac Id | 2567774045 |
| Professional Enrollment Id | I20180711002506 |
| Last Name | ANDERSON |
| First Name | MICHAEL |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | FAMILY PRACTICE GROUP, P.A. |
| Group Practice Pac Id | 1658275391 |
| Number Of Group Practice Members | 13 |
| Line 1 Street Address | 1951 BENCH RD B |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | POCATELLO |
| State | ID |
| Zip Code | 832012073 |
| Phone Number | 2082381000 |
| Hospital Affiliation Ccn 1 | 130028 |
| Hospital Affiliation Lbn 1 | PORTNEUF MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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