JOSEPH D ANDERSON

HIGH VALLEY DERMATOLOGY AND DERMATOLOGIC SURGERY LLC

Dr JOSEPH D ANDERSON is a male medical professional, specializing in Physician Assistant. He graduated in 2000.

Contact

HIGH VALLEY DERMATOLOGY AND DERMATOLOGIC SURGERY LLC

2085 PROVIDENCE WAY
IDAHO FALLS
ID
834044945

Tel: 2085254888

JOSEPH D ANDERSON Information

Npi 1386699833
Pac Id 2365587763
Professional Enrollment Id I20100315000186
Last Name ANDERSON
First Name JOSEPH
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HIGH VALLEY DERMATOLOGY AND DERMATOLOGIC SURGERY LLC
Group Practice Pac Id 1850433137
Number Of Group Practice Members 4
Line 1 Street Address 2085 PROVIDENCE WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834044945
Phone Number 2085254888
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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