Provider Demographics
NPI:1962474247
Name:DEBEUS, ANTHONY M (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:M
Last Name:DEBEUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4800 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4701
Mailing Address - Country:US
Mailing Address - Phone:480-892-8400
Mailing Address - Fax:480-654-2868
Practice Address - Street 1:5251 W CAMPBELL AVE STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031-1718
Practice Address - Country:US
Practice Address - Phone:623-846-7603
Practice Address - Fax:602-508-4830
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28334207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG67761Medicare UPIN
AZZ103031Medicare PIN
AZZ103032Medicare PIN
AZZ103029Medicare PIN
AZZ103030Medicare PIN
AZZ103033Medicare PIN