Individual
NICHOLAS ALEXANDER ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Mailing address
1233 N 30TH ST, BILLINGS, MT 59101-0127
(406) 237-3850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11405369-1205
UT
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-100931
MT
Other
Enumeration date
04/24/2018
Last updated
09/21/2021
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