Individual
ROBERT S ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., F.C.C.P.
Contact information
Practice address
3259 N WINDSONG DR, STE A, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-6422
(928) 772-6425
Mailing address
3259 N WINDSONG DR, STE A, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-6422
(928) 772-6425
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
1893
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
1893
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290002146
RAILROAD MEDICARE
AZ
01
—
P00201903
RAILROAD MEDICARE
AZ
Enumeration date
08/11/2005
Last updated
10/10/2024
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