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NPI 1811059264

IndividualActive

Bryan Anderson, MD

NPI 1811059264 · Surgery Physician · Moscow, ID

Provider details

NPI number: 1811059264
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: M7735 (ID)

Practice location

2400 W a St Ste G

Moscow, ID 83843-4902

Phone: (208) 883-1177

Fax: (208) 892-0170

More ID providers

Mailing address

Po Box 8007

Moscow, ID 83843-0507

Registry dates

Enumerated: 2006-12-14
Last updated: 2024-07-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bryan Anderson, MD — NPI 1811059264, Moscow, ID | NPI Central