Healthcare Provider Details

I. General information

NPI: 1285945915
Provider Name (Legal Business Name): ANTHONY E ANSTON D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 TEAGUE HIGHTOP RD
MOUNTAIN VIEW AR
72560-6074
US

IV. Provider business mailing address

359 TEAGUE HIGHTOP RD
MOUNTAIN VIEW AR
72560-6074
US

V. Phone/Fax

Practice location:
  • Phone: 870-214-0406
  • Fax:
Mailing address:
  • Phone: 870-214-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberE-7863
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-7863
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: