NPI 1063420792

Bruce J Andersen, MD

Practitioner Neurological Surgery Physician Boise, ID

Practice location

Address: 1072 N Liberty St Suite 303, Boise, ID 83704-2800
Phone: (208) 367-4035
Fax: (208) 367-7111
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642-1026

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence M-7767 (ID)

Other Neurological Surgery providers in Idaho →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence M7767 (ID)

Registry record

NPI: 1063420792
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2006
Record last updated: 17 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.