Individual
ELYSSA PETERS ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9305 W THOMAS RD STE 460, PHOENIX, AZ 85037
(602) 933-3937
(602) 933-2409
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
34929
AZ
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
34929
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111668
—
AZ
Enumeration date
03/17/2006
Last updated
05/31/2018
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