Individual
MR. ANTHONY JOSEPH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
224 WEST ERIE, HARRISON, AR 72601
(870) 741-8289
(870) 741-0308
Mailing address
224 W ERIE AVE, HARRISON, AR 72601-3539
(870) 741-8289
(870) 741-0308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002770
IL
363A00000X
Physician Assistant
92PA15
NM
363AS0400X
Surgical Physician Assistant
Primary
PA-421
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98122
—
NM
Enumeration date
07/11/2006
Last updated
12/08/2010
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