Mistretta, Anthony

Mistretta, Anthony is an individual health care provider with primary practice located at 2825 E. Barnett Rd , Medford OR 97504-8332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Mistretta, Anthony can be contacted via phone (541) 789-4352.

Contact Information

Primary practice address
2825 E. Barnett Rd Medford OR 97504-8332
Phone: (541) 789-4352
Fax: (541) 789-4602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD170331 Oregon

Profile Details

NPI number 1851341531
LBN Legal business name Mistretta, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851341531 NPPES
Maine MEDICAID 432285999

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