Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BROCK ARBEN ANDERSEN, M.D.
Active Sole ProprietorDR. BROCK ARBEN ANDERSEN, M.D. is a Dermatology healthcare provider located in FRUITLAND, Idaho. NPI 1558349852 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FRUITLAND, ID
Registration Details
- NPI Number
- 1558349852
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2006 (20.580383325613 yrs)
- Last Updated
- Oct 1, 2020
- Licenses
-
M-11642 (ID)A 93571 (CA)M-11462 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2101 N WHITLEY DRFRUITLAND, ID, 836192132Browse ID providers · Browse ZIP 83619
- Phone
- 2084525999
- Fax
- 2084524499
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
- Additional Specialty
- Dermatology
Other Dermatology Providers in FRUITLAND, ID
| Name | Credential | NPI |
|---|---|---|
| CARL R THORNFELDT | MD | 1083653489 |
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.