Individual
ANTHONY DAEP MAGDADARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ROUTE N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
7345 WOODLAND DR STE D, INDIANAPOLIS, IN 46278-1737
(317) 388-0800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2019029921
MO
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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