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Individual

ANTHONY AL-DEHNEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
129 E. REDSTONE AVE, SUITE A, CRESTVIEW, FL 32539-5350
(850) 682-7212
(850) 682-6302
Mailing address
129 E. REDSTONE AVE, SUITE A, CRESTVIEW, FL 32539-5350
(850) 682-7212
(850) 682-6302

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS12174
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0170411
NJ
Enumeration date
06/20/2006
Last updated
07/17/2013
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