Digeorge, Anthony Michael

Digeorge, Anthony Michael is an individual health care provider with primary practice located at 1345 E Main St 103, Mesa AZ 85203-8947. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Digeorge, Anthony Michael can be contacted via phone (480) 223-0290.

Contact Information

Primary practice address
1345 E Main St 103 Mesa AZ 85203-8947
Phone: (480) 223-0290
Fax: (480) 223-0295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16947 Arizona
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 16947 Arizona

Profile Details

NPI number 1689852105
LBN Legal business name Digeorge, Anthony Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Feb 6th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689852105 NPPES
Arizona Other 331877 AHCCCS

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