Healthcare Provider Details

I. General information

NPI: 1740344787
Provider Name (Legal Business Name): ANTHONY SCHAPERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PIONEER LANE
BISHOP CA
93514-2556
US

IV. Provider business mailing address

PO BOX 1754
BISHOP CA
93515-1754
US

V. Phone/Fax

Practice location:
  • Phone: 760-873-5811
  • Fax: 760-872-3463
Mailing address:
  • Phone: 760-873-5811
  • Fax: 760-872-3463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA41838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: