Individual provider · Type 1 NPI

Michael Anderson, DO

Emergency Medical Services (Emergency Medicine) Physician · Rexburg, ID

NPI number 1194019406 Active

Practice location

450 E Main St
Rexburg, ID 83440-2048

Other practice locations

  • 202 Maplewood Ave, Ronceverte, WV 24970-1334 · (304) 647-6529

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XED0179A (WV)
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XO-0885 (ID)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

42 other providers at this address

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About NPI 1194019406

Michael Anderson, DO's National Provider Identifier is 1194019406, issued on Jun 3, 2011. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Rexburg, ID. The record was last updated on Apr 2, 2020.