NPI 1558349852

Brock Arben Andersen, MD

Practitioner Dermatology Physician Fruitland, ID

Practice location

Address: 2101 N Whitley Dr, Fruitland, ID 83619-2132
Phone: (208) 452-5999
Fax: (208) 452-4499

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M-11642 (ID)

Other Dermatology providers in Idaho →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A 93571 (CA)

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence M-11462 (ID)

Registry record

NPI: 1558349852
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2006
Record last updated: 1 Oct 2020

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.