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1558330597 NPI number — ANTHONY MICHAEL SESTERO M.D.

NPI Number: 1558330597
Health Care Provider/Practitioner: ANTHONY MICHAEL SESTERO M.D.

Information about “1558330597” NPI (ANTHONY MICHAEL SESTERO M.D.) exists in 1558330597 in HTML format HTML  |  1558330597 in plain Text format TXT  |  1558330597 in PDF (Portable Document Format) PDF  |  1558330597 in an XML format XML  formats.

NPI Number : 1558330597 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558330597",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SESTERO",
    "FirstName": "ANTHONY",
    "MiddleName": "MICHAEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "601 W 5TH AVE",
    "SecondLineMailingAddress": "SUITE 400",
    "MailingAddressCityName": "SPOKANE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99204-2715",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-344-2663",
    "MailingAddressFaxNumber": "509-624-9179",
    "FirstLinePracticeLocationAddress": "12410 E SINTO AVE STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE VALLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99216-2280",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-928-4334",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/14/2006",
    "LastUpdateDate": "10/22/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207XS0106X",
        "TaxonomyName": "Orthopaedic Hand Surgery Physician",
        "LicenseNumber": "MD00043159",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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