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Anthony Liccini
NPI 1225569551 · on the registry since 2017
Practice
- Address
- 305 E Jefferson St
Boise, ID 83712 - Phone
- (208) 345-0715
- Clinicians at this address
- 71
Additional practice sites
- 510 W 1st Ave, Toppenish, WA
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho