Individual
ANTHONY ECLAVEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91-1051 FRANKLIN D ROOSEVELT AVE, KAPOLEI, HI 96707-2185
(800) 214-1306
Mailing address
91-1051 FRANKLIN D ROOSEVELT AVE, KAPOLEI, HI 96707-2185
(800) 214-1306
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD-9882
HI
2085R0204X
Vascular & Interventional Radiology Physician
01051628A
IN
2085R0204X
Vascular & Interventional Radiology Physician
50361
GA
2085R0204X
Vascular & Interventional Radiology Physician
50367
WI
2085R0204X
Vascular & Interventional Radiology Physician
MD-9882
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34785300
—
WI
Enumeration date
12/06/2006
Last updated
12/27/2024
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