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Individual
DR. PAUL A ANTHONY
Active
Individual
DR. PAUL A ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01077206A
IN
2085R0001X
Radiation Oncology Physician
86-165
NM
2085R0203X
Therapeutic Radiology Physician
01077206A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261909
AHCCCS
NM
01
—
300065574
MEDICARE RAILROAD
NM
05
—
37770
—
NM
01
—
5614250
AETNA/ PRONET
NM
01
—
9214
LOVELACE HEALTHPLAN
NM
01
—
92616
FIRST HEALTH PLAN
NM
01
—
NM000168
BLUE SHIELD/NM
NM
Enumeration date
06/14/2005
Last updated
01/25/2021
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