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Individual

EDWARD A ANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
711 N CURTIS RD, BOISE, ID 83706-1445
(440) 465-0568
Mailing address
6568 S FEDERAL WAY # 238, BOISE, ID 83716-9277
(440) 465-0568

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
76632
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8271766
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073403051
NPI
Enumeration date
04/23/2020
Last updated
03/10/2026
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