Provider

MICHAEL ANDERSON D.O.

Public NPPES listing with taxonomy: Emergency Medicine, Emergency Medical Services.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1194019406

Taxonomy: Emergency Medicine, Emergency Medical Services (207PE0004X)

Source confidence: 58%

Medicare assignment: Unknown from NPPES

Address: 450 E MAIN ST, REXBURG, ID, 834402048

Phone: 208-356-3691

Last verified: May 15, 2026