Provider Demographics
NPI:1366445041
Name:SANCHEZ, ANTHONY RICHARD II (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RICHARD
Last Name:SANCHEZ
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4350 LIMELIGHT AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8034
Mailing Address - Country:US
Mailing Address - Phone:720-455-3775
Mailing Address - Fax:720-455-3776
Practice Address - Street 1:4350 LIMELIGHT AVE STE 100
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8034
Practice Address - Country:US
Practice Address - Phone:720-455-3775
Practice Address - Fax:720-455-3776
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0040964207XX0005X
CO40964207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN200002235Medicare ID - Type Unspecified
MNI15744Medicare UPIN