ANTHONY ROSALES, DPM, PC
Medical Practice at Humphreys St, Flagstaff, AZ

License number
Arizona 0608
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. ANTHONY ROSALES DPM
Title: OWNER
Phone: (928) 774-4825
Address
Address
421 N Humphreys St, Flagstaff, AZ 86001
National Provider ID: 1952596991
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANTHONY ROSALES, DPM, PC

Flagstaff, AZ

Status:
Inactive
Industry:
Podiatrist's Office
Registration:
Aug 16, 2006
Addresses:
421 N Humphreys, Flagstaff, AZ 86001 (Physical)
8 W Columbus Ave, Flagstaff, AZ 86001
State ID:
-1305664-2
Expiration:
PERPETUAL
Managers:
Anthony Rosales (President, Owner, Principal), 421 N Humphreys, Flagstaff, AZ 86001 (Physical),Edward E. Wiebe (President),Kim Evans Manager, inactive

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