Individual
ANTHONY CARLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
625 N GILBERT RD STE 104, GILBERT, AZ 85234-4511
(602) 318-2005
Mailing address
6735 E GREENWAY PKWY APT 1127, SCOTTSDALE, AZ 85254-2110
(602) 318-2005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100691
—
AZ
Enumeration date
09/10/2021
Last updated
08/17/2023
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