Individual
JOSEPH G ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 HANOVER DR, SUITE F, DAVIS, CA 95616-1066
(530) 750-7214
(530) 750-7206
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G79048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G790480
—
CA
Enumeration date
08/10/2006
Last updated
07/08/2007
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