Logan Anderson, DO | |
132 5th Ave W Ste 1&2, Jerome, ID 83338-1871 | |
(208) 814-9800 | |
Not Available |
Full Name | Logan Anderson |
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Gender | Male |
Speciality | Family Medicine |
Location | 132 5th Ave W Ste 1&2, Jerome, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356916209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | O-1750 (Idaho) | Primary |
Entity Name | Caribou Medical Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942970272 PECOS PAC ID: 7618365701 Enrollment ID: O20220314000619 |
Mailing Address | Practice Location Address |
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Logan Anderson, DO 132 5th Ave W Ste 1&2, Jerome, ID 83338-1871 Ph: (208) 814-9800 | Logan Anderson, DO 132 5th Ave W Ste 1&2, Jerome, ID 83338-1871 Ph: (208) 814-9800 |
Dr. James S Irwin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9833 | |
Michael J Keller, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 | |
Alma Iyon Soud, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-933-9651 | |
Brian Lee Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 N Lincoln Ave, Jerome, ID 83338 Phone: 208-324-4301 | |
Elizabeth Hart Sugden, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W, Jerome, ID 83338 Phone: 208-324-5286 Fax: 208-324-9815 | |
Nelson S Browning, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1, Jerome, ID 83338 Phone: 208-814-9800 |