Jose Primo N Anzilotti

NPI #1982721981 in Willow, Alaska

Provider Information

NPI Number: 1982721981
Entity Type: Organization
Organization Name: Jose Primo N Anzilotti
Primary Specialty: General Practice
Enumeration Date: Mar 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: MILE 69.1 PARKS HIGHWAY
City: Willow
State: Alaska
ZIP Code: 99688-0349
Phone: (907) 495-4362

Authorized Official

Name: JOSEPH E BEATY
Title: BILLING AGENT
Phone: (907) 770-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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