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Individual

DR. PATRICK MARTIN ROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ANTHEM VA CBOC, 3618 W. ANTHEM WAY; D-120, ANTHEM, AZ 85086
(623) 551-6092
Mailing address
2816 W HONOR CT, ANTHEM, AZ 85086-2323
(623) 551-6092

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
SD2352
SD

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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