Individual
ANTHONY ROBERT PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542
(928) 475-1200
Mailing address
103 MEDICINE WAY ROAD, PERIDOT, AZ 85542
(928) 475-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7322
AZ
Other
Enumeration date
02/04/2015
Last updated
03/28/2018
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