Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | N5633 | AR |
NPI | 1003861808 |
---|---|
Provider Name | Anthony R Giglia III |
First Address | Little Rock, AR 72204-1755 |
Second Address | Little Rock, AR 72204-1755 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C68340 | (02) |