Individual
JOSE PRIMO N ANZILOTTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PARKS HIGHWAY MILE 69.1, WILLOW, AK 99688
(907) 495-4362
(907) 495-4363
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2390
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4141
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3671
—
AK
Enumeration date
01/09/2006
Last updated
07/08/2007
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