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Individual

ANTHONY G MIGLIAZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4911 S ARROWHEAD DR, SUITE 201, INDEPENDENCE, MO 64055-7005
(816) 478-8113
(816) 478-8108
Mailing address
4911 S ARROWHEAD DR, SUITE 201, INDEPENDENCE, MO 64055-7005
(816) 478-8113
(816) 478-8108

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
04-20314
KS
207RP1001X
Pulmonary Disease Physician
Primary
R3D48
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10399093
BCBS
05
201897758
MO
05
30004624260002
KS
Enumeration date
07/13/2006
Last updated
11/12/2024
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