Provider Demographics
NPI:1922471093
Name:MAMONE, ANTHONY (PA-C)
Entity Type:Individual
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First Name:ANTHONY
Middle Name:
Last Name:MAMONE
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5005 N PIEDRAS ST
Mailing Address - Street 2:WBAMC
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79920-5002
Mailing Address - Country:US
Mailing Address - Phone:915-569-4890
Mailing Address - Fax:
Practice Address - Street 1:1810 MURCHISON DR STE 300
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2906
Practice Address - Country:US
Practice Address - Phone:915-581-0357
Practice Address - Fax:915-584-8313
Is Sole Proprietor?:No
Enumeration Date:2015-11-11
Last Update Date:2021-09-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant