Individual
DANIEL ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7611 W RUNNING BEAR DR, MARANA, AZ 85734
(520) 272-9876
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7701256
AZ
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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