MR. Anthony Alonzo Favot

NPI #1215572417 in La Habra, California

Provider Information

NPI Number: 1215572417
Entity Type: Individual
Name: MR. Anthony Alonzo Favot
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Nov 12, 2019
Last Updated: Nov 12, 2019

Practice Location

Address: 2500 SIDON AVE.
City: La Habra
State: California
ZIP Code: 90631
Phone: (734) 842-2232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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