# MR. ANTHONY JOSEPH ROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629003736
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085002770 | IL | — |
| 363A00000X | Physician Assistant | 92PA15 | NM | — |
| 363AS0400X | Surgical Physician Assistant | PA-421 | AR | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 12/08/2010