Provider Demographics
NPI:1386907624
Name:AGUIRRE, ANTHONY RYAN MIGUEL (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY RYAN
Middle Name:MIGUEL
Last Name:AGUIRRE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5167 CLAYTON RD STE H
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3170
Mailing Address - Country:US
Mailing Address - Phone:925-489-2984
Mailing Address - Fax:925-204-2174
Practice Address - Street 1:5167 CLAYTON RD STE H
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3170
Practice Address - Country:US
Practice Address - Phone:925-489-2984
Practice Address - Fax:925-204-2174
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2024-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA120738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine