Provider Demographics
NPI:1447267257
Name:ARON, ANTHONY EUGENE (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:EUGENE
Last Name:ARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 DOGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2022
Mailing Address - Country:US
Mailing Address - Phone:970-377-0775
Mailing Address - Fax:
Practice Address - Street 1:1643 DOGWOOD CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2022
Practice Address - Country:US
Practice Address - Phone:307-256-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ49937207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ984748Medicaid
NME2654Medicaid
AZZ174757Medicare PIN
NME2654Medicaid