Individual
ANTHONY MICHAEL DIGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1345 E MAIN ST, 103, MESA, AZ 85203-8947
(480) 223-0290
(480) 223-0295
Mailing address
1345 E MAIN ST, 103, MESA, AZ 85203-8947
(480) 223-0290
(480) 223-0295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16947
AZ
2080P0205X
Pediatric Endocrinology Physician
16947
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331877
AHCCCS
AZ
Enumeration date
02/06/2008
Last updated
02/06/2008
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