Individual
DR. ANTHONY D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3205 S RUSSELL ST, MISSOULA, MT 59801-8536
(406) 721-4906
Mailing address
10400 UPLAND TRL, MISSOULA, MT 59804-9201
(406) 207-7582
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11595
MT
Other
Enumeration date
03/30/2007
Last updated
06/03/2010
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