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Individual
DR. MARK ANTHONY ROSALES
Active
Individual
DR. MARK ANTHONY ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861453953
NPI
—
05
—
934225-001
—
AZ
01
—
AZ0195640
BC/BS ID#
AZ
01
—
Z118265
PTAN
—
Enumeration date
03/29/2006
Last updated
02/11/2016
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