Individual
DR. ANTHONY VINCENT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-13178
ID
207Q00000X
Family Medicine Physician
Primary
MD60435859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63887
ARIZONA MEDICAL LICENSE
AZ
01
—
M-13178
IDAHO MEDICAL LICENSE
ID
01
—
MD60435859
WASHINGTON MEDICAL LICENSE
WA
Enumeration date
11/01/2006
Last updated
09/20/2021
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