# DR. MARK ANTHONY ROSALES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861453953
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0608 | AZ | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 02/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1861453953 | NPI | — |
| 05 | — | 934225-001 | — | AZ |
| 01 | — | AZ0195640 | BC/BS ID\# | AZ |
| 01 | — | Z118265 | PTAN | — |