Individual provider · Type 1 NPI
Anthony Joseph Rose, PA-C
Surgical Physician Assistant · Harrison, AR
NPI number
1629003736
Active
Practice location
224 West Erie
Harrison, AR 72601
Fax (870) 741-0308
Mailing address
224 W Erie Ave
Harrison, AR 72601-3539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 085002770 (IL) |
| Physician Assistant | 363A00000X | 92PA15 (NM) |
| Surgical Physician Assistant Primary | 363AS0400X | PA-421 (AR) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Harrison
About NPI 1629003736
Anthony Joseph Rose, PA-C's National Provider Identifier is 1629003736, issued on Jul 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Harrison, AR. The record was last updated on Dec 8, 2010.