Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 20174 | AL |
NPI | 1033114327 |
---|---|
Provider Name | Anthony Lynn Tropeano |
First Address | Sylacauga, AL 35150-2976 |
Second Address | Sylacauga, AL 35150-2976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 01/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
515-99039 | BLUE CROSS (01) | |
G55070 | (02) | AL |