Individual
DR. ANTHONY HALAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
768 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9707
(209) 754-2602
(209) 785-7025
Mailing address
2629 OAK CREEK DR, COPPEROPOLIS, CA 95228-9478
(209) 754-2602
(209) 785-7025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C53251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4250262
—
MI
Enumeration date
09/22/2006
Last updated
12/18/2009
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