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Individual
MR. ANTHONY JOHN URBANSKI
Active
Individual
MR. ANTHONY JOHN URBANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
097544
IA
363AM0700X
Medical Physician Assistant
097544
IA
363AS0400X
Surgical Physician Assistant
097544
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097544
LICENSE NUMBER
IA
Enumeration date
06/11/2019
Last updated
07/17/2024
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