Provider Demographics
NPI:1205853173
Name:MUSCI, ANTHONY G (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:G
Last Name:MUSCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2645 E PARLEYS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-1636
Mailing Address - Country:US
Mailing Address - Phone:801-384-4700
Mailing Address - Fax:801-384-4733
Practice Address - Street 1:2645 E PARLEYS WAY STE 200
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-1636
Practice Address - Country:US
Practice Address - Phone:801-384-4700
Practice Address - Fax:801-384-4733
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1819391205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTF01019Medicare UPIN
UT000062370Medicare PIN