Bryan J Anderson, MD Valid NPI
Individual provider · Surgery Physician · Moscow, ID
- NPI
- 1811059264
- Type
- Individual (Type 1)
- Primary specialty
- Surgery Physician (Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208600000X
- License number
- M7735 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-14
- Last updated
- 2024-07-19
Practice location
2400 W A St Ste G
Moscow, ID 83843-4902
(208) 883-1177