Individual
MRS. ANYA MICHELLE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
166 SOUTH 5TH, MONTPELIER, ID 83254-4959
(208) 847-3847
(208) 847-1620
Mailing address
166 SOUTH 5TH, MONTPELIER, ID 83254-1557
(208) 847-3847
(208) 847-1620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18630
CA
Other
Enumeration date
01/25/2007
Last updated
11/04/2010
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