Individual
ANDREW M ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
265 POSADA LN, SUITE B, TEMPLETON, CA 93465-4056
(805) 434-0900
(805) 434-9260
Mailing address
265 POSADA LN, SUITE B, TEMPLETON, CA 93465-4056
(805) 434-0900
(805) 434-9260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A44962
CA
208M00000X
Hospitalist Physician
A44962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A449620
—
CA
01
—
10940559
CAQH
CA
01
—
2396051
BLUE CROSS OF CA
CA
Enumeration date
11/22/2005
Last updated
09/16/2011
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