Individual
ISAAC ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 231-2353
Mailing address
2672 E LINCOLN LN, SALT LAKE CITY, UT 84124-2942
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/18/2023
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