Organization
ANTHONY ROSALES, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ROSALES DPM (OWNER)
(928) 774-4825
Entity
Organization
Contact information
Practice address
421 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-4531
(928) 774-4825
(888) 464-1135
Mailing address
421 N HUMPHREYS ST, FLAGSTAFF, AZ 86001-4531
(928) 774-4825
(888) 464-1135
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
934225-001
—
AZ
01
—
AZ0195640
BC/BS
AZ
Enumeration date
09/12/2007
Last updated
01/12/2011
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