NPI
Anthony Antczak
NPI 1811867773
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- BHCM
- Type
- Individual
- Enumeration date
- 2025-11-06
- Last updated
- 2025-11-06
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Specialties
Licenses
- License UT
- F25-127194
Location
- Practice location
- 60 S Main St Ste 6
- City
- Tooele UT
- Postal code
- 84074-2136
- Phone
- (435) 255-6150
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Tooele, UT. 740 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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