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Organization
ANTHONY JOSEPH MD INC
Active
Organization
ANTHONY JOSEPH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY E JOSEPH MD (OWNER)
(208) 233-2100
Entity
Organization
Contact information
Practice address
2240 E CENTER ST, POCATELLO, ID 83201-2600
(208) 233-2100
(208) 233-3146
Mailing address
2240 E CENTER ST, POCATELLO, ID 83201-2600
(208) 233-2100
(208) 233-3146
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M-6309
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR6829
RAILROAD MEDICARE
ID
Enumeration date
06/06/2011
Last updated
09/07/2021
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