Whalio Doctors

NPI 1326025396

Joseph M Anderson, DO

Practitioner Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Idaho Falls, ID

Practice location

Address
3100 Channing Way, Idaho Falls, ID 83404-7533
Phone
(208) 535-4130
Fax
(208) 535-4125
Mailing address
PO Box 1647 2860 Channing Way Suite 115, Idaho Falls, ID 83403-1647

Registered specialties (2)

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207PE0005X Licence 0-102 (ID)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 0-102 (ID)

Registry record

NPI
1326025396
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Dec 2005
Record last updated
31 Jul 2012

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.