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NPI Code Detail

MEDICARE: ERIN L. ANZALONE

MEDICARE: ERIN L. ANZALONE
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
1363A00000XPhysician Assistant117555MT

General Provider Information

NPI Number : 1902261795
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN L. ANZALONE
Provider Business Mailing Address
First Line : 915 HIGHLAND BLVD
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number : 406-414-1826
Fax Number :
Provider Business Practice Location Address
First Line : 32 WICKS LN
Second Line :
City : BILLINGS
State : MT
Zip : 59105-3810
Country : US
Telephone Number : 406-237-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2015
Last Update Date : 01/22/2026

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