Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASIL CLARENCE ANDERSON, M.D.
Active Sole ProprietorBASIL CLARENCE ANDERSON, M.D. is a Family Medicine healthcare provider located in KIMBERLY, Idaho. NPI 1518282110 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KIMBERLY, ID
Registration Details
- NPI Number
- 1518282110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2010 (16.330672653506 yrs)
- Last Updated
- Nov 16, 2024
- Licenses
-
A120404 (CA)MD154424 (OR)STUDENTM-11966 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 MAIN ST NKIMBERLY, ID, 83341Browse ID providers · Browse ZIP 83341
- Phone
- 2087353938
- Fax
- 2087353939
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.