Individual
ANTHONY ALAN ENNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4407 W WAGONER RD, GLENDALE, AZ 85308-1600
(801) 946-2224
Mailing address
4407 W WAGONER RD, GLENDALE, AZ 85308-1600
(801) 946-2224
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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