Individual
BRIAN C ROSENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
205 N STUART BLVD, ELOY, AZ 85131-2507
(520) 466-7883
(520) 466-3946
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85230-0020
(520) 836-3446
(520) 836-8807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
458310
—
AZ
Enumeration date
08/20/2009
Last updated
07/21/2022
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