Andrew N Rose, PA C
Physician Assistant, Medical in Logandale, NV. Individual provider (NPI-1).
NPI number1881663185
StatusActive
Last updated in NPPESAug 3, 2018
Details
- NPI
- 1881663185
- Entity type
- Individual (NPI-1)
- Name
- Andrew N Rose
- Credential
- PA C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2006
- Last updated
- Aug 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA1560 | NV | Yes |
Practice location
1925 Whipple Ave # 30Logandale, NV 89021
Phone 702-398-3621 · Fax 023-983-6267
Mailing address
1925 Whipple Ave # 30Logandale, NV 89021-9934
Phone 702-398-3621 · Fax 702-398-3626
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