Healthcare Provider Details

I. General information

NPI: 1053307298
Provider Name (Legal Business Name): STEPHEN PATRICK ANTHONY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E FARWELL RD SUITE 100
SPOKANE WA
99218-8202
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 509-464-2873
  • Fax: 509-466-0914
Mailing address:
  • Phone: 972-997-8000
  • Fax: 972-234-2987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberOP00001601
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4488
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: