Individual
DR. PATRICK JAMES ROSCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13991 W. GRAND AVE, SUITE 105, SURPRISE, AZ 85374
(623) 455-7800
(623) 455-7840
Mailing address
25500 N. NORTERRA PARKWAY, BLDG. B, PHOENIX, AZ 85085
(623) 277-1000
(623) 876-2106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42041
AZ
207Q00000X
Family Medicine Physician
81723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81723
TRAINING PERMIT
AZ
Enumeration date
01/10/2008
Last updated
01/29/2014
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