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Individual

MR. ANTHONY M BELMONT III III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
777 AVENUE H, POWELL, WY 82435
(307) 754-2267
(307) 754-7740
Mailing address
777 AVENUE H, POWELL, WY 82435
(307) 754-2267
(307) 754-7740

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C001480
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155719701
AR
01
5Y200
BCBS OF AR
AR
01
P00191830
RR MEDICARE GROUP CK6327
Enumeration date
10/14/2005
Last updated
03/16/2016
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