Individual provider · Type 1 NPI
John Roger Anderson, DO
Diagnostic Radiology Physician · Coeur D Alene, ID
NPI number
1366490773
Active
Practice location
8611 W Eagle Ridge Rd
Coeur D Alene, ID 83814-9565
Fax (208) 664-4159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0102204169 (VA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | O-0349 (ID) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1366490773
John Roger Anderson, DO's National Provider Identifier is 1366490773, issued on May 5, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 4, 2023.