Individual
MR. ANTHONY M AMIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
338 MOREAU ST, MARKSVILLE, LA 71351-2956
(318) 253-5647
(318) 253-5876
Mailing address
338 MOREAU ST, MARKSVILLE, LA 71351-2956
(318) 253-5647
(318) 253-5876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11268R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664839
—
LA
Enumeration date
09/15/2005
Last updated
03/17/2010
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