Individual
ANTHONY M GIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3231 S NATIONAL AVE, SUITE 440, SPRINGFIELD, MO 65807-7304
(417) 888-5660
(417) 888-6793
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2002000490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157679
MO BLUE SHIELD
MO
Enumeration date
02/06/2007
Last updated
07/11/2008
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