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Individual

BETH MAXINE ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
14416 W MEEKER BLVD, BLDG C, SUN CITY WEST, AZ 85375-5284
(623) 583-5100
(623) 583-5816
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 583-5816

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3002
AZ
363AM0700X
Medical Physician Assistant
Primary
3002
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3981220
EVERCARE
AZ
05
878720
AZ
01
AW1436
HEALTHNET GRP
AZ
Enumeration date
11/04/2005
Last updated
01/24/2008
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