Individual
ANTHONY ROVISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W 45TH ST, AUSTIN, TX 78751-2800
(512) 407-2111
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
07/11/2021
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