# ANTHONY ROSALES, DPM, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952596991
- **Authorized official:** DR. ANTHONY ROSALES DPM (OWNER)
- **Authorized official phone:** (928) 774-4825

## Contact information

- **Practice address:** 421 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-4531
- **Practice address phone:** (928) 774-4825
- **Practice address fax:** (888) 464-1135
- **Mailing address:** 421 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-4531
- **Mailing address phone:** (928) 774-4825
- **Mailing address fax:** (888) 464-1135

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 01/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 934225-001 | — | AZ |
| 01 | — | AZ0195640 | BC/BS | AZ |