Male or Other

Clint Anthony MD

Psychiatry Physician in Phoenix, AZ(View on Map)

Full Name

Clint Anthony MD

NPI Number

1922111657

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/16/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

California
Illinois

License Number

G85401
036.151063

Contact
Information

Purpose

Mailing
Location

Address

650 E INDIAN SCHOOL RD
650 E INDIAN SCHOOL RD

City

Phoenix
Phoenix

State

AZ
AZ

Postal Code

85012-1839
85012-1839

Country

US
US

Telephone Number

(602) 222-2752
(602) 222-2752

Health Information Exchange

Endpoint Type

FHIR
DIRECT

Endpoint

https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
canthony341256@direct-ehr-ssmhc.com

Endpoint Description

Unknown
Unknown

Use

Other
Direct

Content Type

Other

Other Description:
CCD

Other

Other Description:
canthony341256@direct-ehr-ssmhc.com

Affiliation

N
N

Endpoint Location

444 N Pleasant AveCentralia, IL628013006US
444 N Pleasant AveCentralia, IL628013006US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/10/2020

Provider Address

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