Individual
MR. MICHAEL ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,PA-C
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-8780
Mailing address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-8780
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1321
CO
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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