Individual
DR. RICHARD PAUL DE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 E. PRESIDIO STREET, #101, MESA, AZ 85215-1165
(480) 706-9430
(480) 378-2273
Mailing address
5155 E. EAGLE DRIVE, #20730, MESA, AZ 85277-3031
(480) 706-9430
(480) 378-2273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43987
AZ
208600000X
Surgery Physician
MD10699
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020034128
MEDICARE RAILROADERS
—
Enumeration date
12/01/2005
Last updated
08/12/2015
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