| Anthony Joseph Md Inc | |
|
2240 E Center St Pocatello ID 83201-2600 | |
| (208) 233-2100 | |
| (208) 233-3146 |
| Full Name | Anthony Joseph Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2240 E Center St, Pocatello, Idaho |
| Authorized Official Name and Position | Anthony E Joseph (OWNER) |
| Authorized Official Contact | 2082332100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Joseph Md Inc 2240 E Center St Pocatello ID 83201-2600 Ph: (208) 233-2100 | Anthony Joseph Md Inc 2240 E Center St Pocatello ID 83201-2600 Ph: (208) 233-2100 |
| NPI Number | 1770877888 |
|---|---|
| Provider Enumeration Date | 06/06/2011 |
| Last Update Date | 09/07/2021 |
| Medicare PECOS PAC ID | 3870761083 |
|---|---|
| Medicare Enrollment ID | O20110713000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770877888 | NPI | - | NPPES |
| DR6829 | Other | ID | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | M-6309 (Idaho) | Primary |
| Provider Name | Anthony Edward Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922092741 PECOS PAC ID: 6800949991 Enrollment ID: I20090807000178 |
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