Anzalone, Gary P
Anzalone, Gary P is an individual health care provider with primary practice located at 208 Thompson Ave , El Dorado AR 71730-5756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Anzalone, Gary P can be contacted via phone (870) 862-1351.Contact Information
Primary practice address
208 Thompson Ave
El Dorado AR 71730-5756
Phone: (870) 862-1351
Fax: (870) 862-2815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | R-4500 | Arkansas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | R-4500 | Arkansas |
Profile Details
| NPI number | 1710937529 |
|---|---|
| LBN Legal business name | Anzalone, Gary P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 12th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710937529 | NPPES |
| Arkansas | Other | 5J135 | MEDICARE LEGACY NUMBER |
| Arkansas | MEDICAID | 123460001 | MEDICARE LEGACY NUMBER |
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