NPI 1205974136

David Ray Anderson, MD

Practitioner Ophthalmology Physician Idaho Falls, ID

Practice location

Address: 530 S Holmes, Idaho Falls, ID 83403-2410
Phone: (208) 529-3937
Fax: (208) 524-4380
Mailing address: PO Box 2410, Idaho Falls, ID 83403-2410

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M3793 (ID)

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1205974136
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2007
Record last updated: 8 Jul 2007

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.