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Individual

ANTHONY AVALLONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5950 UNIVERSITY AVE STE 341, WEST DES MOINES, IA 50266-8289
(515) 875-9800
Mailing address
5950 UNIVERSITY AVE STE 321, WEST DES MOINES, IA 50266-8289
(515) 875-9255
(515) 875-9101

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
093641
OH
208800000X
Urology Physician
Primary
MD-46514
IA
208800000X
Urology Physician
ME121181
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14W89
BCBS
FL
01
380593
AVMED
FL
01
5468012
AETNA
FL
01
6269916
CIGNA
FL
01
P01451582
RR MEDICARE ID #
FL
Enumeration date
05/27/2006
Last updated
09/06/2019
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