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NPI Code Detail

MEDICARE: EDWARD A ANTON MD

MEDICARE: EDWARD A ANTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician8271766ID
2208100000XPhysical Medicine & Rehabilitation Physician76632MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11073403051OTHERNPI

General Provider Information

NPI Number : 1134749799
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD A ANTON MD
Provider Business Mailing Address
First Line : 6568 S FEDERAL WAY # 238
Second Line :
City : BOISE
State : ID
Zip : 83716-9277
Country : US
Telephone Number : 440-465-0568
Fax Number :
Provider Business Practice Location Address
First Line : 711 N CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1445
Country : US
Telephone Number : 440-465-0568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2020
Last Update Date : 03/10/2026

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Directions to “ EDWARD A ANTON MD” Practice Location

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