Individual
DR. GARY J. ANTHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 DODGE ST, STE. 220, OMAHA, NE 68114-4129
(402) 354-1320
(402) 354-5965
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17124
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025724800
—
NE
05
—
10026135100
—
NE
05
—
1528079514
—
IA
Enumeration date
08/11/2006
Last updated
08/07/2014
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