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Individual
DR. ANTHONY VINCENT ANDERSON
Active
Individual
DR. ANTHONY VINCENT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-13178
ID
207Q00000X
Family Medicine Physician
Primary
MD60435859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63887
ARIZONA MEDICAL LICENSE
AZ
01
—
M-13178
IDAHO MEDICAL LICENSE
ID
01
—
MD60435859
WASHINGTON MEDICAL LICENSE
WA
Enumeration date
11/01/2006
Last updated
09/20/2021
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