Individual
ANTHONY E ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3033 N 44TH ST STE 100, PHOENIX, AZ 85018-7227
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9190
AZ
363AS0400X
Surgical Physician Assistant
9190
AZ
363AS0400X
Surgical Physician Assistant
PA60547938
WA
Other
Enumeration date
12/15/2020
Last updated
08/08/2022
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