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Individual

ANTHONY ROBERT DICAMILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10001 S EASTERN AVE STE 203, HENDERSON, NV 89052-3908
(702) 616-5801
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(702) 616-5801

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
SL0804
NV
2084N0400X
Neurology Physician
Primary
DO1937
NV

Other

Enumeration date
06/03/2011
Last updated
01/27/2021
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