Organization
J MARSHALL ANTHONY DO JD LTD
Active
Other names
JAMES M ANTHONY DO
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ANTHONY (PHYSICIAN)
(702) 641-6008
Entity
Organization
Contact information
Practice address
3100 E CHARLESTON BLVD, STE 109, LAS VEGAS, NV 89104-6665
(702) 641-6008
(702) 641-7085
Mailing address
3100 E CHARLESTON BLVD, STE 109, LAS VEGAS, NV 89104-6665
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
765
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2990011
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
11/19/2007
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