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Dr. Anthony R Divito, MD
Diagnostic Radiology Physician in Springfield, Missouri
NPI 1336303411

Anthony R Divito is a Diagnostic Radiology Physician based in Saint Louis, MO and is specialized in Diagnostic Radiology. Anthony R Divito practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Anthony R Divito is 1336303411 and holds a License No. (Missouri).

The current practice location address for Anthony R Divito is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-9729.

Location: 1235 E Cherokee St, Springfield, MO, 63150-5164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336303411
Provider Name
Anthony R Divito
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1235 E Cherokee St, Springfield, MO, 63150-5164
Phone Number
417-820-9729
Fax Number
Provider Enumeration Date
07/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MO
PENDING 01 MO MEDICARE
PENDING 05 AR
PENDING 05 OK
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-9729
Fax Number
person
Provider Business Mailing Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-9729
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2011003928 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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