Provider Demographics
NPI:1114494192
Name:FRANK, ANTHONY T (ND)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:T
Last Name:FRANK
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10863 LORO VERDE AVE
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2574
Mailing Address - Country:US
Mailing Address - Phone:407-257-9327
Mailing Address - Fax:909-403-6945
Practice Address - Street 1:1455 W PARK AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8178
Practice Address - Country:US
Practice Address - Phone:909-283-7528
Practice Address - Fax:909-403-6945
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAND1030175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath