Nicholas Alexander Anzalone, MD
Internal Medicine in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982192019
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1982192019
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Alexander Anzalone
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2018
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MED-PHYS-LIC-100931 | MT | Yes |
| 207R00000X | Internal Medicine | 11405369-1205 | UT |
Practice location
30 N 1900 E Rm 4c116Salt Lake City, UT 84132-0002
Phone 801-581-7606
Mailing address
1233 N 30th StBillings, MT 59101-0127
Phone 406-237-3850
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