Anthony Max Rousselot PA-C

NPI 1568460608 - Physician Assistant - 363AM0700X

NPI Details
NPI 1568460608
Gender Male
Enumeration Date 07/12/2005
Last Updated 02/28/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1600 WEEOT WAY
ARCATA CA, 95521-4734, US
Phone (707) 825-5010
Fax (707) 825-6736
Business Location
1600 WEEOT WAY
ARCATA CA, 95521-4734, US
Phone (707) 825-5010
Fax (707) 825-6736
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA13540
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According to our database, Anthony Max Rousselot PA-C NPI is 1568460608, taxonomy code is 363AM0700X and license number is PA13540, license state is located at California. Anthony Max Rousselot PA-C physically located at 1600 Weeot Way, Arcata CA, 95521-4734. NPI Number Anthony Max Rousselot PA-C has the Individual type.

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1568460608 NPI number is provided on an as is basis without warranty of any kind. 1568460608 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Max Rousselot PA-C are for informational purposes only.