Individual provider · Type 1 NPI
Jack Bryant Anon, MD
Otolaryngic Allergy Physician · Erie, PA
NPI number
1104877265
Active
Practice location
1645 W 8th St
Erie, PA 16505-5007
Fax (814) 866-2655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngic Allergy Physician Primary | 207YX0602X | MD035571E (PA) |
Otolaryngic Allergy Physician: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
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About NPI 1104877265
Jack Bryant Anon, MD's National Provider Identifier is 1104877265, issued on May 13, 2006. The primary taxonomy on file is Otolaryngic Allergy Physician (207YX0602X), and the practice location is in Erie, PA. The record was last updated on Apr 27, 2021.