Individual
DR. ANTHONY D. CAFFARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W BROADWAY ST STE 320, MISSOULA, MT 59802-4003
(406) 329-5615
(406) 329-5606
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 329-5615
(406) 329-5606
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A76011
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MED-PHYS-LIC-132628
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750339479
GROUP NPI
CA
01
—
A76011
LICENSE
CA
Enumeration date
09/18/2007
Last updated
02/11/2025
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