Individual provider · Type 1 NPI

Bruce J. Andersen, MD

Neurological Surgery Physician · Boise, ID

NPI number 1063420792 Active

Practice location

1072 N Liberty St, Suite 303
Boise, ID 83704-2800

Call (208) 367-4035 Map

Fax (208) 367-7111

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Other practice locations

  • 3931 Louisiana Ave S, St. Louis Park, MN 55426-5000 · (952) 993-3230

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XM7767 (ID)
Neurological Surgery Physician Primary 207T00000XM-7767 (ID)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1063420792

Bruce J. Andersen, MD's National Provider Identifier is 1063420792, issued on Aug 5, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Boise, ID. The record was last updated on Feb 17, 2023.